二氧化碳激光与传统的悬雍垂腭咽成形术治疗鼾症的对比研究

• 作 者: 林艳丰
• 出 处: 国外医学.耳鼻咽喉科学分册
• 发表日期: 1993年05期
• 关键词: 鼾症 二氧化碳激光 软腭 扁桃体 悬雍垂 上气道 腭弓 舌肌 扁桃体肿大 肌张力

鼾症是由于气流使悬雍垂,软腭柱以及软腭边缘产生震动而引起的。与其相关的解剖学异常有:上气道直径减小,咽的塌陷性增加,低腭弓,软腭延长,舌和扁桃体肿大,下颌骨缩小以及舌肌咽肌的肌张力过低。对30例鼾症患者进行研究,把它分为A、B、C三组,每组各10名。A组,用传统的悬雍垂腭咽成形术,同时摘除扁桃体;B组,显微镜下应用CO_2激光在微小操作器配合下手术;C组,方法同A组。B组与C组患者的扁桃体均较小,所以都予以完整地保留。每组患者术前鼾症的评分均为3分。术后平均鼾症评分为:A组1.0,B组

Snoring is caused by air currents that cause vibrations in the uvula, soft palate, and soft palate edges. Associated with the anatomical abnormalities are: reduced upper airway diameter, increased pharyngeal collapse, low palatal arch, soft palate extended, tongue and tonsil enlargement, mandibular reduction and muscle tone of the lingual muscle pharyngeal muscle is too low. 30 cases of snoring patients were studied, it is divided into A, B, C three groups of 10 each. In Group A, the traditional uvulopalatopharyngoplasty was performed and tonsil was removed at the same time. In Group B, CO_2 laser was operated under the microscope with a micro-manipulator under microscope. Patients in group B and C had smaller tonsils, so they were all preserved intact. Preoperative snoring scores of each group were 3 points. Postoperative average snoring score: A group 1.0, B group