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目的:探讨咽部重建成形术在治疗OSA中,扩大咽部空间和减小咽部塌陷的疗效。方法:咽部重建成形术的基本原则包括扁桃体切除术、去除扁桃体上的粘膜和脂肪组织,把上咽缩肌缝合到前柱来固定咽侧壁,以及把咽腭弓皮瓣头侧缝合到扁桃体上窝以增强软腭强度。结果:术后三个月,没有病人感到吞咽障碍和发音改变。病人恢复正常营养的时间是15天。术后六个月,在打鼾(P=0.005)和白天嗜睡(P=0.008)症状上,有统计学意义上的显著改善。多功能睡眠记录结果显示AHI(P=0.005)和快眼动期显著改善。此外,发现咽部重建成形术术后病人的AHI有所减小。结论:在做过咽部重建成形术(通过增强软腭和固定咽侧壁)的患者中,打鼾和日间嗜睡症状以及不利睡眠呼吸事件和睡眠结构均得到了明显改善,同时也保留了咽部的正常功能。
Objective: To investigate the effect of pharyngeal reconstructive angioplasty in the treatment of OSA, to expand the space of the pharynx and reduce the collapse of the pharynx. METHODS: The basic principles of pharyngeal reconstructive angioplasty include tonsillectomy, removal of mucosa and adipose tissue on the tonsils, suturing of the upper phallic sphincter to the anterior column to fix the pharyngeal side of the pharynx, and suturing the phalangeal phalangeal flap to the side of the head Tonsils to enhance the soft palate strength. Results: Three months after surgery, no patient experienced dysphagia and altered pronunciation. The patient returned to normal nutrition time is 15 days. Six months after surgery, there was a statistically significant improvement in symptoms of snoring (P = 0.005) and daytime sleepiness (P = 0.008). The results of polysomnography showed that AHI (P = 0.005) and fast eye movement improved significantly. In addition, AHI was found to be reduced in patients undergoing pharyngeal reconstructive surgery. CONCLUSION: Snoring and daytime narcolepsy, as well as adverse sleep-respiratory events and sleep patterns, were significantly improved in patients undergoing pharyngeal reconstructive angioplasty (by augmenting the soft palate and fixing the pharyngeal wall), while preserving the pharyngeal The normal function.