Clinical study of the surgical treatment on obstructive sleep apnea hypopnea syndrome

XU Qiao-Lian, TIAN An-Yong

Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 484-486.

Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 484-486. DOI: 10.13418/j.issn.1001-165x.2014.04.027

Clinical study of the surgical treatment on obstructive sleep apnea hypopnea syndrome

  • YU Qiao-lian, TIAN Guang-yong 
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Abstract

Objective To explore surgical treatment methods we analyse OSAHS cases of inpatien department. Methods 40 cases underwent 3 different surgical treament methods.  According to surgerical methods, 40 cases were divided into 3 groups: low temperature coblation-assisted uvunlopalatopharyng oplasty (first group, 24 cases), low temperature coblation-assisted uvunlopalatopharyngoplasty and nasal endoscopic surgery at one time (second group, 8 cases), low temperature coblation-assisted uvunlopalatopharyngoplasty and nasal endoscopic surgery at two times (third group, 8 cases). Patient charts were reviewed and preoperative and postoperative apnea-hypopnea index 3 months after the surgery (AHI), minimum oxygen saturation were evaluated. Result In the first group, the effect was successful in 3cases, excellent in 15 cases, good in 6 cases. In the second group, the effect was successful in 6 cases, excellent in 2 cases. In the third group before second operation, the effect was excellent in 2 cases, good in 4 cases and useless in 2 cases. After the second operation, the effect increased to bieng successful in 6 cases, excellent in 2 cases. Conclusions A significantly high operation success rate can be expected after surgical correction with low temperature coblation-assisted uvunlopalatopharyngoplasty for soft palate obstruction after whereas a low operation success rate can be found in the third group before their second operation. Both low temperature coblation-assisted uvunlopalatopharyngoplasty and nasal endoscopic surgery are needed when nasal and palate obstructions are present.

Key words

Obstructive sleep apnea hypopnea syndrome / Uvunlopalatopharyngoplasty / Low temperature coblation

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XU Qiao-Lian, TIAN An-Yong. Clinical study of the surgical treatment on obstructive sleep apnea hypopnea syndrome[J]. Chinese Journal of Clinical Anatomy. 2014, 32(4): 484-486 https://doi.org/10.13418/j.issn.1001-165x.2014.04.027

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