Advances in Clinical Medicine 临床医学进展, 2024, 9(3), 180-184
Published Online March 2024 in Hans. http://www.hanspub.org/journal/acm https://doi.org/10.12677/acm.2024.93028
Therapeutic Effects of Multiplanar Operation Simultaneously in Upper Respiratory System for the Obstructive Sleep Apnea Hypopnea Syndrome
Xiao Li, Ying Yuan, Ke Yang, Ning Wang*
Department of Otolaryngology Head and Neck Surgery, Qilu Hospital of Shandong University (Qingdao), Qingdao Shandong
ththth
Received: Feb. 6, 2024; accepted: Feb. 15, 2024; published: Feb. 27, 2024
Abstract
Objective: To investigate the effect of multiplanar operation at the same term for the obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: 30 cases with OSAHS received nasal recon-struction, uvulopalatopharyngoplasty (UPPP), adenoidectomy or Tongue root lymphoidectomy. Before the operation, all severe cases underwent continuous positive airway pressure (CPAP) therapy. Results: In 30 cases, all the operations were performed successfully. No death or severe complications occurred during the operation and follow-up. According to polysomnography (PSG), the effectiveness was 97% 6 months later. 6 months after the operation, the changes of AHI and CT90% were significant (P < 0.05) compared with those preoperative. Epworth sleepiness scores and Visual analogue scores (VAS) for subjective symptoms were decreased after surgery (P < 0.05). The shape of airway was improved significantly. Conclusion: The multiplanar operation at the same term is safe and effective for OSAHS. The shape of upper airway tends to be normal. The liv-ing quality of the patients was significantly improved after the operations. CPAP before the opera-tion can effectively prevent postoperative severe complications.
Keywords
Obstructive Sleep Apnea Hypopnea, Multiplanar Operation, Airway Obstruction
上气道多部位同期手术治疗阻塞性睡眠呼吸暂停低通气综合征的效果探讨
李 晓，袁 英，杨 珂，王 宁*
*通讯作者。
文章引用: 李晓, 袁英, 杨珂, 王宁. 上气道多部位同期手术治疗阻塞性睡眠呼吸暂停低通气综合征的效果探讨[J]. 临床医学进展, 2024, 9(3): 180-184. DOI: 10.12677/acm.2024.93028
上气道多部位同期手术治疗阻塞性睡眠呼吸暂停低通气综合征的效果探讨 - 论文
