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进入 2 1世纪阻塞性睡眠呼吸暂停综合征 (OSAS)病因学研究更侧重于睡眠时上呼吸道的塌陷性及截面积的测量 ,对不同人种的比较显示了发病危险因素有差异 ;在传统诊断方法如Muller试验、纤维鼻咽镜检查的基础上 ,强调多导睡眠检测(PSG)在医疗及法律角度的重要性。悬雍垂腭咽成形术 (UPPP)仍是治疗OSAS的主要方法 ,但阻塞必须发生在软腭水平 ,温控射频组织容量减少法及烧烙致腭部僵硬法是对UPPP的一些变更 ;UPPP失败后可行 2期上下颌骨前徙术 ,舌根悬吊术等治疗。随着各种治疗的开展 ,对远期效果的随访表明仍有许多不尽如人意之处。随着OSAS病因、病理研究的不断深入及诊断水平的不断提高 ,其疗效会越来越好
Into the 21st century, obstructive sleep apnea syndrome (OSAS) etiology more focused on sleeping in the upper respiratory tract collapse and cross-sectional measurement, comparison of different ethnic groups showed the risk factors were different; in the traditional diagnosis Methods such as the Muller test and fiber nasopharyngoscopy emphasize the importance of polysomnography (PSG) in a medical and legal context. Uvulopalatopharyngoplasty (UPPP) is still the primary treatment for OSAS, but obstruction must occur at the level of the soft palate, temperature-controlled RF tissue volume reduction and burn-induced palatal stiffness are some changes to UPPP; UPPP fails After the feasibility of 2 mandibular anterior migratory surgery, tongue root suspension and other treatment. Follow-up with long-term results shows that there are still many unsatisfactory aspects with the development of various therapies. With the etiology of OSAS, the continuous study of pathology and the continuous improvement of the diagnostic level, its curative effect will be getting better and better