引用本文:宗春琳,马 秦,苏忠平,刘义闻,于 擘.牵张成骨术治疗小下颌畸形伴重度OSAHS效果的回顾性研究[J].中国临床新医学,2018,11(11):1078-1081.
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牵张成骨术治疗小下颌畸形伴重度OSAHS效果的回顾性研究
宗春琳,马 秦,苏忠平,刘义闻,于 擘
710032 西安,军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,第四军医大学口腔医院颌面外科
摘要:
[摘要] 目的 探讨牵张成骨术治疗小下颌畸形伴重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的效果。方法 选择2015-01~2017-12期间在该院诊断为小下颌畸形伴重度OSAHS并行牵张成骨术治疗的10例成年患者作为研究对象,观察治疗前后患者的外形、呼吸暂停低通气指数(AHI)、最低血氧饱和度、上气道狭窄处直径、颏部位置等改变情况。结果 10例患者夜间憋气、白天嗜睡等主观症状均消失,面型改善明显,最低血氧饱和度均升至正常范围内。9例患者AHI均降低至5以下,气道最狭窄处直径显著扩大,颏部平均前移距离为(15.72±2.94)mm。结论 对于由小颌畸形引起的重度OSAHS,牵张成骨术是一种非常稳定且有效的治疗方法。
关键词:  小颌畸形  睡眠呼吸暂停低通气综合征  牵张成骨术  颞下颌关节强直
DOI:10.3969/j.issn.1674-3806.2018.11.03
分类号:R 782.2+3
基金项目:
A retrospective study on treatment effect of distraction osteogenesis on micrognathia associated with severe OSAHS
ZONG Chun-lin, MA Qin, SU Zhong-ping, et al.
State Key Laboratory of Military Stomatology, National Clinical Medical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, the Fourth Military Medical University, Xi′an 710032, China
Abstract:
[Abstract] Objective To explore the treatment effect of distraction osteogenesis(DO) on patients with micrognathia associated with obstructive sleep apnea hypopnea syndrome(OSAHS). Methods 10 adult patients diagnosed with micrognathia associated with severe OSAHS were collected as the research subjects and were treated with distraction osteogenesis in our hospital between January 2015 and December 2017. The appearance, apnea hyponea index(AHI), lowest oxygen saturation, narrowest upper airway diameter and chin position were observed before and after treatment. Results The subjective symptoms of choking in sleep and daytime sleepiness in the 10 patients were eliminated. The facial appearance improved significantly, and the lowest oxygen saturation was increased to the normal range in all the patients. The AHI indexes of 9 patients were all below 5, and the narrowest upper airway diameter was significantly enlarged, and the mean advancement of menton was (15.72±2.94) mm. Conclusion  DO is a very stable and effective treatment method for severe OSAHS caused by micrognathia.
Key words:  Micrognathia  Obstructive sleep apnea hypopnea syndrome(OSAHS)  Distraction osteogenesis (DO)  Temporomandibular joint ankylosis