舌根中线部分切除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

Analysis of the curative effect of partial tongue base midline resection combined with uvulopalatopharyngoplasty in the treatment of type Ⅲ obstructive sleep apnea hypopnea syndrome

摘要:

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。方法收集2019年12月—2021年5月诊治的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，均行舌根中线部分切除术联合悬雍垂腭咽成形术，术后6~24个月复查睡眠监测。结果根据疗效评定标准, 术后13例(65%)患者有效，7例(35%)患者无效，但此7例无效患者手术前后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，舌根中线部分切除术联合悬雍垂腭咽成形术是一种相对安全，疗效较好的手术方式。

Abstract:

ObjectiveTo investigate the efficacy of partial resection of tongue base and uvulopalatopharyngoplasty in the treatment of type Ⅲ obstructive sleep apnea hypopnea syndrome (OSAHS).MethodsTwenty patients of type Ⅲ OSAHS were enrolled from Dec 2019 to May 2021, aged 25-70 years with an average age of 43 years. After admission, relevant examinations were performed to exclude contraindications of surgery and general anesthesia. Partial resection of tongue and tongue base combined with uvulopalatopharyngoplasty was performed for all patients. Polysomnography was repeated in 6 to 24 months after surgery.ResultsOf all the 20 patients, 13 were effective (65%) and 7 (35%) were ineffective after surgery. But there were statistically significant differences in preoperative and postoperative Epworth sleep scale and clinical symptom scores of these 7 patients (P < 0.05).ConclusionTongue base midline resection combined with uvulopalatopharyngoplasty is a relatively safe and effective surgical method for type Ⅲ OSAHS patients.