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目的 :探讨阻塞性睡眠呼吸暂停综合征 (OSAS)不同层面阻塞对悬雍垂腭咽成形术(UPPP)效果的影响 ;方法 :采用纤维喉镜 (或气管镜 )术前模拟睡眠状态下M櫣ｌｌｅｒ’ｓ法检查 ,对上气道不同层面截面积减少情况进行评估 ,选择以鼻咽腔及以口咽平面狭窄而喉咽腔截面积≥ 5 0 %的病例作为UPPP手术适应症 ;结果 :通过对 98例OSAS病人术前进行M櫣ｌｌｅｒ’ｓ法检查 ,筛选出6 6例符合手术适应症标准病例并实施了UPPP ,术后 89%患者鼾声响度、憋气症状、血氧饱和度得以改善 ;结论 :纤维内镜术前M櫣ｌｌｅｒ’ｓ法检查可作为判断ＯＳＡＳ病人阻塞部位、选择手术适应症、提高UPPP疗效重要的临床检测手段。
OBJECTIVE: To investigate the effect of obstructive sleep apnea syndrome (OSAS) obstruction on uvulopalatopharyngoplasty (UPPP) effect.Methods: Moths were simulated preoperatively with fiberoptic laryngoscope (or bronchoscope) ller’s method to check the reduction of the cross-sectional area of the upper airway at different levels to assess the selection of nasopharyngeal and to the oropharyngeal plane narrow and hypopharyngeal cavity cross-sectional area ≥ 50% of cases as UPPP surgical indication; Results: Ninety-six patients with OSAS were examined preoperatively by Möller’s method. Sixty-six standard cases of surgical indications were selected and UPPP was performed. The postoperative snoring loudness, suffocation symptoms and oxygen saturation were improved in 89% of the patients ; Conclusions: M 櫣 ller’s test before endoscopic fibroscopy can be used as a clinical diagnostic tool to judge the obstructive site of OSAS patients and choose surgical indications to improve the efficacy of UPPP.