悬雍垂的
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In order to minimize the postoperative complications of uvulopalatopharyngoplasty for preventing severe obstructive sleep apnea syndrome, the data of 32 patients with severe OSAS undergoing UPPP were analyzed. Three cases got temporary regurgitation after UPPP. Ten days to 2 months after UPPP, all patients except 4 obtained satisfactory therapeutic effects after decannulation. All the patients were decannulated favorably.
摘 要:为预防阻塞性睡眠呼吸暂停综合征行悬雍垂腭咽成形术时的并发症,对32例OSAS患者作预防性气管切开术行UPPP治疗的经验进行总结,UPPP术后,3例出现短暂进食返流,无其它并发症发生,术后10d~2个月,所有患者均拔管顺利,28例疗效明显,4例自觉症状无改善。
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Methods:①Make clinical scale of the magnitude of the tongue and the palate to the group of the OSAHS and the normal control②Successive scanning of the upper airway at the states of the normal inspiration and under the Müller action on both normal controls and the OSAHS patients with multi-slice spiral computed tomography. The scope of scanning was from the roof of nasopharynx to the level of hypohyal, bonding multiplate volume reconstruction,using the image workstation to survey the cross section area, sagittal diameter, coronal diameter on the soft tissue thickness in the lateral pharyngealwall and posterior wall of the pharynx, and the postzone of soft palate, uvula palatine ,tongue and epiglottis.
采用高分辨率多排CT(multi-slice spiral computed tomography,MSCT)对正常人和OSAHS患者的上呼吸道分别在平静吸气状态下以及Müller动作下进行连续扫描,扫描范围从鼻咽顶部至舌骨下缘,图象进行三维重建,应用图像工作站测量正常人和OSAHS患者的软腭后区(retropalatal region,RP)、悬雍垂后区(uvula region,UV)、舌后区(retroglossal region,RG)和会厌后区(epiglottal region,EPG)气道横截面积(cross section area,CSA)、矢状径、冠状径、咽侧壁和咽后壁软组织厚度以及舌体大小(包括舌体长度、舌体最宽处的宽度、中纵切面面积,舌背高度)。
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METHODS 40 cases patients with OSAHS were performed the operation of uvulopalato pharyngoplasty, and the Calgary Sleep Apnea Quality of Life Index questionnaires were completed before and after operation three months later, then health-related quality of life were compared in daily functioning, social interactions, emotional functioning and symptoms, the total scale is the sum of the average scale of each domain.
选择40例行悬雍垂腭咽成形术的OSAHS患者,采用Calgary生活质量指数在术前及术后3个月进行问卷调查,从量表中的日常活动、社会活动、情感及症状4个方面比较与健康相关的生活质量,各部分的平均分相加即为量表的总分。
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Under electron microscope, tissue shape and its changes of the staphylion and soft palate in model group can be observed clearly, including hyperplasia of fibers and inflammatory cell infiltration.
上气道低阻力形成类似于OSAHS症状的咽腔力学环境改变,可以引起包括软腭和悬雍垂在内的咽部软组织发生易于OSAHS形成和发展的重建。
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Methods: An animal model of Low pressure of upper airway was proposed by use of the little type pig, and the tension-stretch ratio relationships of the pharyngeal soft tissues such as cavum nasopharyngeum, soft palate and staphylion were measured in vitro through uniaxial tensile experiments.
用小型猪建立上气道低阻力动物模型来模拟阻塞性睡眠呼吸暂停综合征症状,对动物模型的咽组织(包括鼻咽腔软组织、软腭和悬雍垂)进行单轴拉伸实验,离体检测各部分的弹性,并和正常情形进行对比。
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Uvulopalatopharyngolasty in combination with radix linguae, corpus linguae and lingual bone operation via the extrocervical approach is effective for solving obstructions in the palatopharygeum and glossopharyngeum planes for severe obstructive sleep apnea hypopnea syndrome induced by hypophyseoma with hypertrophic corpus linguae.
对因为脑垂体瘤舌体肥大所致重症阻塞性睡眠呼吸暂停低通气综合征的患者,根据实际病情,在术前或术后行悬雍垂腭咽成型术联合颈外进路舌根舌体舌骨手术,解决患者的腭咽和舌咽平面的阻塞问题。
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