【摘要】 目的:观察药物诱导睡眠下阻塞性睡眠呼吸暂停低通气综合症(obstructive sleep apneahypopnea syndrome,OSAHS)患者纤维鼻咽喉镜检查的表现。探讨药物诱导睡眠下纤维鼻咽喉镜检查方法。方法:对我院33例患者行药物诱导睡眠下的纤维鼻咽喉镜检查,记录和分析检查所见。结果:33例患者中,鼻咽部阻塞22例,均伴口咽部阻塞,同时伴喉咽阻塞者9例;3例系单纯口咽阻塞,伴扁桃体肥大,8例为喉咽阻塞,悬雍垂咽成形术后3例中,2例为喉咽阻塞,1例仍为鼻咽阻塞。多个部位狭窄者睡眠呼吸暂停更为严重。结论:药物诱导睡眠下的纤维鼻咽喉镜检查可清楚显示鼻咽、软腭和舌根在鼾声和中的动态变化,能够更直观、清晰地从形态学上分析OSAHS的产生原因和病理机制。更多还原

【Abstract】 Objective: To observe the nasendoscopy for OSAHS during drug-induced sleep and explore the method of nasendoscopy under drug-induced sleep.Method: Nasendoscopy for OSAHS during drug-induced sleep were performed on 35 cases of OSAHS.Result: Of 35 cases,for 17 the narrowing regions located in velopharynx companying with the oropharynx narrowings,and 8 of 17 with hypopharyngeal narrowings more;2 cases in oropharynx only,;5 in hypopharynx;2 of 3 cases after uvuloplatopharyngoplasty got hypopharyngeal narrowings,and the other one still had velopharyngeal narrowings.Conclusion: The movement of velopharynx,soft palate and tongue base of the patients who have snorings and OSAHS can be seen by nasendoscopy during drug-induced sleep.更多还原