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目的探讨手术治疗鼻气道狭窄对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者的疗效。方法 2008年2月-2010年2月,对300例OSAHS患者行鼻内镜鼻腔手术治疗,比较患者手术前后打鼾程度、嗜睡程度和鼾声评分。结果手术治疗鼻气道狭窄后患者嗜睡评分及鼾声评分平均值均小于术前,差异有统计学意义(P<0.05),手术有效率88.67%,手术并发症发生率0.67%,为鼻中隔穿孔、鼻腔粘连。结论手术治疗鼻气道狭窄是治疗因鼻气道狭窄所致OSAHS的一种有效方法。
Objective To investigate the effect of surgical treatment of nasal airway stenosis on patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods From February 2008 to February 2010, 300 patients with OSAHS underwent nasal endoscopic sinus surgery. The levels of snoring, degree of somnolence and snoring were compared before and after operation. Results The scores of somnolence and snoring were significantly lower than those before operation after surgical treatment of nasal airway stenosis (P <0.05). The operative efficiency was 88.67% and the incidence of complications was 0.67% Nasal adhesions. Conclusion Surgical treatment of nasal airway stenosis is an effective method for the treatment of OSAHS due to nasal airway stenosis.