阻塞性睡眠呼吸暂停低通气综合征的颅颌骨框架重构手术治疗

中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (2): 99-106.

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阻塞性睡眠呼吸暂停低通气综合征的颅颌骨框架重构手术治疗

卢晓峰

上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,上海 200011

收稿日期:2013-06-26 修回日期:2013-08-26 出版日期:2014-03-10 发布日期:2014-11-06
通讯作者: 卢晓峰,E-mail：lukeluxf@yahoo.com
作者简介:卢晓峰(1962-),男,博士,主任医师,博士研究生导师

Craniomaxillofacial bone frame reconstruction for patients with obstructive sleep apnea-hypopnea syndrome

LU Xiao-feng

Department of Oral and Craniomaxillofacial Science, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2013-06-26 Revised:2013-08-26 Online:2014-03-10 Published:2014-11-06

摘要/Abstract

摘要： 阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)是一种常见病,诸如颅颌骨畸形、肥胖、上气道周围组织占位(如腺样体、扁桃体肥大等)和上气道开放肌群功能障碍、呼吸中枢调节或驱动障碍等都会导致该病。手术是主要、有效的治疗手段,包括颅颌骨框架重建和颅面软组织减容手术等,前者通过前移或横扩颅颌骨,增加上气道口径,可以达到稳定、有效的手术效果,但手术创伤较大,可引起颅颌面外形改变;后者通过切除上气道周围软组织来换取空间,手术创伤较小,但手术效果较难把握,且由于上气道周围组织具有各自的功能,软组织切除将以减弱或丧失功能为代价。本文就OSAHS患者颅颌骨框架手术的适应证和优缺点等进行阐述。

关键词: 阻塞性睡眠呼吸暂停低通气综合征, 颅颌骨, 框架重建

Abstract: Obstructive sleep apnea-hypopnea syndrome(OSAHS)is a common disease. Craniomaxillofacial bone hypoplasia, obese, mass in the upper airway, dysfunction of upper airway dilator muscles and central respiratory disorders may result in the diseases. Surgical treatment is the main and effective method for management of OSAHS, which includes two manners: craniomaxillofacial bone frame reconstruction and reduction of soft tissue around upper airway. The former can achieve stable results by craniomaxillar bone expand or advancement, but may lead to profile change and more trauma; while the later provides more spaces by means of resection of soft tissues around the upper airway, such as tongue and soft palate, etc, which means some function will be impaired or lost.

Key words: OSAHS, Craniomaxillofacial bone, Frame reconstruction

中图分类号:

R782.2

卢晓峰. 阻塞性睡眠呼吸暂停低通气综合征的颅颌骨框架重构手术治疗[J]. 中国口腔颌面外科杂志, 2014, 12(2): 99-106.

LU Xiao-feng. Craniomaxillofacial bone frame reconstruction for patients with obstructive sleep apnea-hypopnea syndrome[J]. China J Oral Maxillofac Surg, 2014, 12(2): 99-106.

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阻塞性睡眠呼吸暂停低通气综合征的颅颌骨框架重构手术治疗

Craniomaxillofacial bone frame reconstruction for patients with obstructive sleep apnea-hypopnea syndrome

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