鼻擴張手術作為基礎手術治療OSAHS的臨床研究

Peilin Hui; Yuping Xie; Wei Ma; Lijun Zhao; Jinfeng Wang; Xiaoquan Wei; Liya Zhou; Chao Xu; Gang Zhao; Yiping Hou

doi:10.13201/j.issn.1001-1781.2015.21.005

鼻擴張手術作為基礎手術治療OSAHS的臨床研究

Translated title of the contribution: Clinical study on efficacy of nasal surgical expansion as a basic operation in treatment of patients with OSAHS

Peilin Hui, Yuping Xie, Wei Ma, Lijun Zhao, Jinfeng Wang, Xiaoquan Wei, Liya Zhou, Chao Xu, Gang Zhao, Yiping Hou

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVE: To observe the clinical effect of nasal surgical expansion as basical surgical treatment of patients with OSAHS.

METHOD: A total of 320 patients with OSAHS were retrospectively analyzed. The patient was diagnosed by PSG. The electronic nasopharyngolarygnoscope exam airway CT, and MRI were applied to determining the nasal plane block. According to the concrete reasons, the nasal endoscopic nasal septum corrective surgery and open surgery were carried out, respectively. Nasal sinus neoplasm resection of off shoring, inferior turbinate fracture surgery or inferior turbinate back-end 1/3 line expansion and low temperature plasma ablation of nasal surgery, respectively. Pittsburgh sleep quality index (PSQI), snore outcome survey (SOS), epworth sleepiness score (ESS), the lowest arterial oxygen saturation (LSaO2) and AHI, time and ratio of slow wave sleep (SWS) stage and rapid eye movement (REM) stage were applied to comparing the curative effect between pre-operation and post-operation periods.

RESULT: Snoring, sleep apnea, subjective mental symptoms of all patients with OSAHS were improved after operation; PSQI, SOS and ESS score were improved compared to pretreatment (P < 0.05); according to the 2009 OSAHS diagnosis and curative effect evaluation standard, 38 cases cured, 189 cases had obvious effect, 93 cases effective, and the total effective rate was 100%; there was statistical difference between the pre-operative period and 6 months post-operative in PSQI, SOS and ESS, LSaO2, AHI and proportion of REM (P < 0.05); sleep structure was improved, time and proportion of SWS were increased after the operation (P < 0.05).

CONCLUSION: Solving the problem of nasal airway obstruction is the first step in surgical treatment of patients with OSAHS.

Translated title of the contribution	Clinical study on efficacy of nasal surgical expansion as a basic operation in treatment of patients with OSAHS
Original language	Chinese (Traditional)
Pages (from-to)	1860-1863
Number of pages	4
Journal	Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery
Volume	29
Issue number	21
DOIs	https://doi.org/10.13201/j.issn.1001-1781.2015.21.005
Publication status	Published - 1 Nov 2015
Externally published	Yes

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title = "鼻擴張手術作為基礎手術治療OSAHS的臨床研究",

abstract = "OBJECTIVE: To observe the clinical effect of nasal surgical expansion as basical surgical treatment of patients with OSAHS.METHOD: A total of 320 patients with OSAHS were retrospectively analyzed. The patient was diagnosed by PSG. The electronic nasopharyngolarygnoscope exam airway CT, and MRI were applied to determining the nasal plane block. According to the concrete reasons, the nasal endoscopic nasal septum corrective surgery and open surgery were carried out, respectively. Nasal sinus neoplasm resection of off shoring, inferior turbinate fracture surgery or inferior turbinate back-end 1/3 line expansion and low temperature plasma ablation of nasal surgery, respectively. Pittsburgh sleep quality index (PSQI), snore outcome survey (SOS), epworth sleepiness score (ESS), the lowest arterial oxygen saturation (LSaO2) and AHI, time and ratio of slow wave sleep (SWS) stage and rapid eye movement (REM) stage were applied to comparing the curative effect between pre-operation and post-operation periods.RESULT: Snoring, sleep apnea, subjective mental symptoms of all patients with OSAHS were improved after operation; PSQI, SOS and ESS score were improved compared to pretreatment (P < 0.05); according to the 2009 OSAHS diagnosis and curative effect evaluation standard, 38 cases cured, 189 cases had obvious effect, 93 cases effective, and the total effective rate was 100%; there was statistical difference between the pre-operative period and 6 months post-operative in PSQI, SOS and ESS, LSaO2, AHI and proportion of REM (P < 0.05); sleep structure was improved, time and proportion of SWS were increased after the operation (P < 0.05).CONCLUSION: Solving the problem of nasal airway obstruction is the first step in surgical treatment of patients with OSAHS.",

author = "Peilin Hui and Yuping Xie and Wei Ma and Lijun Zhao and Jinfeng Wang and Xiaoquan Wei and Liya Zhou and Chao Xu and Gang Zhao and Yiping Hou",

year = "2015",

month = nov,

day = "1",

doi = "10.13201/j.issn.1001-1781.2015.21.005",

language = "Chinese (Traditional)",

volume = "29",

pages = "1860--1863",

journal = "Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery",

issn = "1001-1781",

publisher = "Tong ji yi ke da xue Fu shu xie he yi yuan",

number = "21",

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T1 - 鼻擴張手術作為基礎手術治療OSAHS的臨床研究

AU - Hui, Peilin

AU - Xie, Yuping

AU - Ma, Wei

AU - Zhao, Lijun

AU - Wang, Jinfeng

AU - Wei, Xiaoquan

AU - Zhou, Liya

AU - Xu, Chao

AU - Zhao, Gang

AU - Hou, Yiping

PY - 2015/11/1

Y1 - 2015/11/1

N2 - OBJECTIVE: To observe the clinical effect of nasal surgical expansion as basical surgical treatment of patients with OSAHS.METHOD: A total of 320 patients with OSAHS were retrospectively analyzed. The patient was diagnosed by PSG. The electronic nasopharyngolarygnoscope exam airway CT, and MRI were applied to determining the nasal plane block. According to the concrete reasons, the nasal endoscopic nasal septum corrective surgery and open surgery were carried out, respectively. Nasal sinus neoplasm resection of off shoring, inferior turbinate fracture surgery or inferior turbinate back-end 1/3 line expansion and low temperature plasma ablation of nasal surgery, respectively. Pittsburgh sleep quality index (PSQI), snore outcome survey (SOS), epworth sleepiness score (ESS), the lowest arterial oxygen saturation (LSaO2) and AHI, time and ratio of slow wave sleep (SWS) stage and rapid eye movement (REM) stage were applied to comparing the curative effect between pre-operation and post-operation periods.RESULT: Snoring, sleep apnea, subjective mental symptoms of all patients with OSAHS were improved after operation; PSQI, SOS and ESS score were improved compared to pretreatment (P < 0.05); according to the 2009 OSAHS diagnosis and curative effect evaluation standard, 38 cases cured, 189 cases had obvious effect, 93 cases effective, and the total effective rate was 100%; there was statistical difference between the pre-operative period and 6 months post-operative in PSQI, SOS and ESS, LSaO2, AHI and proportion of REM (P < 0.05); sleep structure was improved, time and proportion of SWS were increased after the operation (P < 0.05).CONCLUSION: Solving the problem of nasal airway obstruction is the first step in surgical treatment of patients with OSAHS.

AB - OBJECTIVE: To observe the clinical effect of nasal surgical expansion as basical surgical treatment of patients with OSAHS.METHOD: A total of 320 patients with OSAHS were retrospectively analyzed. The patient was diagnosed by PSG. The electronic nasopharyngolarygnoscope exam airway CT, and MRI were applied to determining the nasal plane block. According to the concrete reasons, the nasal endoscopic nasal septum corrective surgery and open surgery were carried out, respectively. Nasal sinus neoplasm resection of off shoring, inferior turbinate fracture surgery or inferior turbinate back-end 1/3 line expansion and low temperature plasma ablation of nasal surgery, respectively. Pittsburgh sleep quality index (PSQI), snore outcome survey (SOS), epworth sleepiness score (ESS), the lowest arterial oxygen saturation (LSaO2) and AHI, time and ratio of slow wave sleep (SWS) stage and rapid eye movement (REM) stage were applied to comparing the curative effect between pre-operation and post-operation periods.RESULT: Snoring, sleep apnea, subjective mental symptoms of all patients with OSAHS were improved after operation; PSQI, SOS and ESS score were improved compared to pretreatment (P < 0.05); according to the 2009 OSAHS diagnosis and curative effect evaluation standard, 38 cases cured, 189 cases had obvious effect, 93 cases effective, and the total effective rate was 100%; there was statistical difference between the pre-operative period and 6 months post-operative in PSQI, SOS and ESS, LSaO2, AHI and proportion of REM (P < 0.05); sleep structure was improved, time and proportion of SWS were increased after the operation (P < 0.05).CONCLUSION: Solving the problem of nasal airway obstruction is the first step in surgical treatment of patients with OSAHS.

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JO - Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery

JF - Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery

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ER -

鼻擴張手術作為基礎手術治療OSAHS的臨床研究

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