舌根中线部分切除术联合悬雍垂腭咽成形术治疗III型阻塞性睡眠呼吸暂停低通气综合征的疗效分析彭莉莉,袁伟,李进让,邹世桢 ,张瑞,潘宇飞,章榕,余蕾蕾,贾园园
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中国人民解放军总医院第六医学中心

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] 首都临床特色应用研究与成果推广—舌源性OSAHS不同术式的疗效对比研究(Z161100000516188)


Analysis of the curative effect of partial tongue base midline resection combined with uvulopalatopharyngoplasty in the treatment of type III OSAPENG Lili,YUAN Wei,LI Jinrang,Zou Shizhen,ZHANG Rui,PAN Yufei,ZHANG Rong,YU Leilei,JIA Yuanyuan.
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    目的:探讨舌根中线部分切除术联合悬雍垂腭咽成形术治疗III型阻塞性睡眠呼吸暂停低通气综合征的疗效分析。方法:2019年12月—2021年5月纳入20例III型阻塞性睡眠呼吸暂停低通气综合征患者,年龄25~70岁,平均年龄43岁。入院后行相关检查排除手术及全麻禁忌,均行舌体舌根中线部分切除联合悬雍垂腭咽成形术,术后6~24个月复查睡眠监测。结果:术后13例患者有效(65%),7例患者无效,但是这7例患者手术前后ESS评分、临床症状评分比较差异均具有统计学意义(P<0.05)。结论:对于III型阻塞性睡眠呼吸暂停低通气综合征患者,舌体舌根中线切除联合悬雍垂腭咽成形是一种相对安全,疗效较好的手术方式。

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    Objectives: To investigate the efficacy of partial resection of tongue base and uvulopalatopharyngoplasty in the treatment of type III OSA.Methods: Twenty patients of type III OSA were enrolled from December 2019 to May 2021, aged 25-70 years, with an average age of 43 years.After admission, relevant examinations were performed to exclude surgery and contraindications of general anesthesia. Partial resection of tongue and tongue base combined with uvulopalatopharyngoplasty was performed for all patients. Polysomnography was repeated in 6-24 months after surgery.Results: 13 patients were effective (65%) and 7 patients were ineffective after surgery, but there were statistically significant differences in preoperative and postoperative ESS scores and clinical symptom scores of these 7 patients (P<0.05).Conclusion: For type III OSA patients, tongue base midline resection combined with uvulopalatopharyngoplasty is a relatively safe and effective surgical method.

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  • 收稿日期:2022-05-24
  • 最后修改日期:2022-08-10
  • 录用日期:2022-08-12
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