周具华 胡春玖 陈惟虎 毕永华

    [摘要]目的：探讨改良腭咽成形术联合鼻腔扩容术治疗阻塞型睡眠呼吸暂停低通气综合征(Obstructive sleep apnea hypopnea syndrome，OSAHS)的疗效。方法：选取笔者医院2014年12月-2019年12月收治的OSAHS患者60例，采用随机数表法将其分为观察组与对照组，各30例。对照组患者采用鼻腔扩容术，观察组采用改良腭咽成形术(H-uvu-lopalatopharyngoplasty，H-UPPP)联合鼻腔扩容术。比较两组患者术后治疗效果;比較患者术前、术后6个月的夜间平均动脉血氧饱和度(Mean arterial oxygen saturation，MSpO2)、血氧饱和合度0.05)。两组患者术后并发症总发生率分别为10.00%、20.00%，组间比较差异无统计学意义(P>0.05)。结论：改良腭咽成形术联合鼻腔扩容术治疗OSAHS的临床效果以及术后恢复情况都更优，且安全性较好，值得推广使用。

    [关键词]改良腭咽成形术;鼻腔扩容术;阻塞型睡眠呼吸暂停低通气综合征;鼻阻力;ESS评分

    [中图分类号]R765? ? [文献标志码]A? ? [文章编号]1008-6455(2021)06-0059-04

    Effect of Modified Palatopharyngoplasty Combined with Nasal Cavity Expansion in the Treatment of Obstructive Sleep Apnea Hypopnea Syndrome

    ZHOU Ju-hua，HU Chun-jiu，CHEN Wei-hu，BI Yong-hua

    (Department of Otorhinolaryngology Head and Neck Surgery，Tongling People's Hospital，Tongling 244000，Anhui，China)

    Abstract： Objective? To study the effect of modified palatopharyngoplasty combined with nasal cavity expansion in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) and nasal shape index. Methods? 60 patients with obstructive sleep apnea hypopnea syndrome (OSAHS) in our hospital from December 2014 to December 2019 were selected and divided into the observation group and the control group by random number table ......