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激光治疗阻塞性睡眠呼吸暂停低通气综合征疗效评价

Evaluate the effect of Nd:YAG laser in treatment of obstructive sleep apnea-hypopnea syndrome

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【作者】 张超张献中李永萍卢二永

【Author】 ZHANG Chao 1 ZHANG Xianzhong 2 LI Yongping 1 LU Eryong 1 ( 1Department of Otolaryngology, First Affiliated Hospital, Henan Technological University, Luoyang,471003, China; 2Department of Laser Medicine, First Affiliated Hospital, Henan Technological University)

【机构】 河南科技大学第一附属医院耳鼻咽喉科河南科技大学第一附属医院激光科河南科技大学第一附属医院耳鼻咽喉科 河南洛阳471003河南洛阳471003

【摘要】 目的 :探讨Nd :YAG激光治疗阻塞性睡眠呼吸暂停低通气综合征 (OSAHS)的疗效。方法 :对 89例OSAHS患者行激光悬雍垂腭咽成形术 (LAUP) ,手术切除部分软腭及悬雍垂 ,在悬雍垂两侧向上楔形打开软腭。结果 :术后 6个月复查有 76例行多导睡眠监测 ,治愈 8例 ,显效 36例 ,有效 2 5例 ,无效 7例 ,总有效率 90 .8%。结论 :Nd :YAG激光具有止血凝固作用且穿透力强 ,手术视野清晰 ,并发症少 ,可缩短手术时间。LAUP治疗OS AHS效果良好。

【Abstract】 Objective:To observe the effect of laser in treatment of obstructive sleep apnea hypopnea syndrome (OSAHS).Method:Eighty nine cases of OSAHS were treated by Laser assisted uvulopalptoplasty (LAUP). Among the cases, the soft palate and uvula were partly resected. The cureiform incise was made into the soft palate along the each side of uvula.Result:The follow up period was six months,76 cases received the detection of polysomnography. Eight cases were cured; 36 cases had notable effects; 25 cases had effects; 7 cases had no effects. The total ratio of validity was 90.8 %.Conclusion:It has clinical value to use LAUP in treatment of OSAHS, and its advantage include hemostasia, solidfication, penetrability, clear visual threshold, lower complication and shortening the surgery time.

  • 【文献出处】 临床耳鼻咽喉科杂志 ,Journal of Clinical Otorhinolaryngology , 编辑部邮箱 ,2004年06期
  • 【分类号】R454.2
  • 【被引频次】2
  • 【下载频次】53
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