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目的 :探讨治疗阻塞性睡眠呼吸暂停综合征 (OSAS)舌根后气道阻塞的有效手术方法。方法 :应用多导睡眠监测仪诊断 OSAS,纤维喉镜 Muller’ s法及 X线头颅侧位测量 ,判断咽部阻塞平面在舌根后气道患者 8例 ,4例行舌骨翻转术 ;2例行悬雍垂腭咽成形术 (U PPP) +舌骨翻转术 ;2例为 UPPP术后 1～ 2年后效果不佳 ,再行舌根翻转术。结果 :4例舌骨翻转术 2例治愈 ,1例显效 ,1例改善 ;2例联合手术 1例治愈 ,1例显效 ;2例分期手术 1例显效 ,1例改善。结论 :舌骨翻转术治疗 OSAS舌根后气道阻塞有效 ,对患者损伤不大 ,无副作用 ,易为患者接受 ,可以作为治疗 OSAS舌根后气道阻塞的手术方法之一。
Objective: To investigate the effective surgical treatment of airway obstruction after tongue basement of obstructive sleep apnea syndrome (OSAS). Methods: Polysomnography was used to diagnose OSAS, Muller ’s method of fiber laryngoscope and X - ray cephalometric measurement to determine the obstruction of pharynx in the lingual root posterior airway in 8 cases, 4 cases of hyoid bone turnover; 2 cases Line uvulopalatopharyngoplasty (U PPP) + hyoid turn; 2 cases of UPPP 1 to 2 years after the poor results, and then tongue flap surgery. Results: 4 cases of hyoid bone turnover were cured in 2 cases, 1 case markedly improved and 1 case improved. 2 cases were cured by one combined operation and 1 case markedly cured. One case was improved by 2 cases staged operation. CONCLUSION: Tongue twitching is effective in treating airway obstruction after OSAS tongue base. It has little injury and no side effects to the patient. It is easy to be accepted by patients. It can be used as one of surgical methods for treating airway obstruction after OSAS tongue base.