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目的 :探讨阻塞性睡眠呼吸暂停综合征 (OSAS)上气道各部位狭窄对手术结果的影响 ;方法 :用Muller氏法及X片上气道各部位截面积测量 ,对定位于腭咽腔平面狭窄的 1 5例OSAS患者施行悬雍垂腭咽成形术 (UPPP) ;结果 :术后患者憋气、鼾声 (Pelausa氏分级 )症状基本消失 ,氧分压 (PaO2 )、氧饱和度 (SaO2 )明显改善 ,呼吸暂停次数 (AI)、呼吸紊乱指数 (AHI)、呼吸暂停时间 (AT)均有统计学意义 (P <0 .0 5 ) ;结论 :认为UPPP治疗OSAS只要术前病例选择得当 ,效果是肯定的 ,有临床实用价值。
OBJECTIVE: To investigate the effect of stenosis of various parts of airway on obstructive sleep apnea syndrome (OSAS) on the surgical outcome.Methods: Muller’s method and the cross-sectional area of airway in X-ray were used to measure the stenosis (UPPP) were performed in 15 OSAS patients. Results: The symptoms of suffocation and snoring (Pelausa’s classification) of patients were almost disappeared and PaO2 and SaO2 were significantly improved , The number of apnea (AI), respiratory distress index (AHI) and apnea time (AT) were all statistically significant (P0.05) .Conclusion: It is concluded that the treatment of OSAS by UPPP should be as long as the preoperative choice, Sure, there is clinical practical value.