Repose骨螺钉系统舌根牵引/舌骨悬吊术在多平面手术中的远期疗效分析

张颖; 刘至玄; 郑念东; 王伟杰; 王效军; 孟明丽; 王巧; 曹云; 李志杰; 张竟超; 王宇

doi:10.13201/j.issn.1001-1781.2018.09.008

Repose骨螺钉系统舌根牵引/舌骨悬吊术在多平面手术中的远期疗效分析

- 1. 陆军总医院263临床部耳鼻咽喉头颈外科(北京, 101149);
- 2. 滦平县医院耳鼻咽喉科
基金项目:
北京通州区科技计划 (No:KJ2017CX045)

陆军总医院创新培育基金 (No:2016-PY-LC-05)

详细信息

通讯作者: 王宇, E-mail:wangyumike@126.com

中图分类号: R563.8

收稿日期: 2017-10-29

The long-term effect analysis of the tongue base traction/hyoid suspension with Repose system in multiplanar surgery

- 1 Department of Otorhinolaryngology Head and Neck Surgery, 263 Clinical Department, Army General Hospital, Beijing, 101149, China;
- 2 Department of Otorhinolaryngology, Luanping County Hospital

More Information

Corresponding author: WANG Yu, E-mail: wangyumike@126.com

Received Date: 29 October 2017

摘要

摘要: 目的:[HT5"SS]探讨Repose骨螺钉系统舌根牵引/舌骨悬吊术在治疗重度OSAHS患者多平面阻塞中的远期疗效。

关键词:
舌咽平面 /

舌根牵引 /

舌骨悬吊 /

睡眠呼吸暂停低通气综合征 /

阻塞性
Abstract: Objective: To explore the long-term effect of Repose bone screw system in the treatment of severe obstructive sleep apnea syndrome in patients with severe obstructive sleep apnea.Method: The follow-up group was divided into the short-term (<12 months, control group, 30 cases) and the long-term (≥ 12 months, observation, 46 cases). And compared the operation effect of the two groups. Furthermore, the parameters and related factors of surgical efficacy of patients with different follow-up time and different surgical methods were further analyzed.Result: ①There was no statistical difference in the preoperative parameters of the two groups, and the overall efficiency of the postoperative long-term observation group was 78.3%, compared with 90.0% in the short-term control group, and the inefficiencies increased from 10.0% to 21.7%. ②In the observation group, the mean of the AHI increased gradually with the follow-up time, and the blood oxygen gradually decreased. The effectiveness of the surgical treatment gradually decreased, the total efficiency of the tongue base traction group decreased from 100% to 60%, and the hyoid suspension group decreased from 94.4% to 77.8%. ③And 15 patients with a second review X-head shadow measurements,we found there are statistically significant (P<0.05) in vallecula epiglottica-lateral pharyngealwall,pharyngeal airway space.Conclusion: Repose screw system of tongue base traction/hyoid suspension technique is positive in the treatment of severe OSAHS lingual pharyngeal plane obstruction, but short-term surgical results are not stable.

Key words:
glossopharyngeal plane /

tongue base traction /

hyoid suspension /

sleep apnea hypopnea syndrome /

obstructive

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参考文献(6)

[1]

SEZEN O S, AYDIN E, ERASLAN G, et al.Modified tongue base suspension for multilevel or single level obstructions in sleep apnea:clinical and radiologic results[J].Auris Nasus Larynx, 2011, 38:487-494.

[2]
中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志, 2009, 44 (2):91-94.

[3]
王宇, 张颖, 刘至玄.Repose骨螺钉系统在重度阻塞性睡眠呼吸暂停低通气综合征治疗中的应用[J].中华耳鼻咽喉头颈外科杂志, 2010, 45 (2):100-104.

[4]

LIN H C, FRIEDMAN M, CHANG H W, et al.The efficacy of multilevel surgery of the upper airway in adults with obstructive sleep apnea/hypopnea syndrome[J].Laryngoscope, 2008, 118:902-908.

[5]

BRENNICK M J, DELIKATNY J, PACK A I, et al.Tongue fat infiltration in obese versus lean Zucker rats[J].Sleep, 2014, 37:1095-1102.

[6]

BENAZZO M, PAGELLA F, MATTI E, et al.Hyoidthyroidpexia as a treatment in multilevel surgery for obstructive sleep apnea[J].Acta Otolaryngol, 2008, 128:680-684.

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收稿日期: 2017-10-29

Repose骨螺钉系统舌根牵引/舌骨悬吊术在多平面手术中的远期疗效分析

通讯作者: 王宇, E-mail:wangyumike@126.com

The long-term effect analysis of the tongue base traction/hyoid suspension with Repose system in multiplanar surgery

Corresponding author: WANG Yu, E-mail: wangyumike@126.com

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[1]	SEZEN O S, AYDIN E, ERASLAN G, et al.Modified tongue base suspension for multilevel or single level obstructions in sleep apnea:clinical and radiologic results[J].Auris Nasus Larynx, 2011, 38:487-494.
[2]	中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志, 2009, 44 (2):91-94.
[3]	王宇, 张颖, 刘至玄.Repose骨螺钉系统在重度阻塞性睡眠呼吸暂停低通气综合征治疗中的应用[J].中华耳鼻咽喉头颈外科杂志, 2010, 45 (2):100-104.
[4]	LIN H C, FRIEDMAN M, CHANG H W, et al.The efficacy of multilevel surgery of the upper airway in adults with obstructive sleep apnea/hypopnea syndrome[J].Laryngoscope, 2008, 118:902-908.
[5]	BRENNICK M J, DELIKATNY J, PACK A I, et al.Tongue fat infiltration in obese versus lean Zucker rats[J].Sleep, 2014, 37:1095-1102.
[6]	BENAZZO M, PAGELLA F, MATTI E, et al.Hyoidthyroidpexia as a treatment in multilevel surgery for obstructive sleep apnea[J].Acta Otolaryngol, 2008, 128:680-684.