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本文旨在评价18个儿童和83个成人打鼾者手术和非手术疗法的效果。在儿童组中,有13例的扁桃体和腺样体均显肥大而一并切除;两例之扁桃体不大而仅切除了腺样体;另两例之腺样体原已手术去除,将过大的扁桃体切除。所有各例术后均获满意效果。一例的鼾声系由于慢性上颌窦与筛窦炎致鼻道阻塞,作鼻窦手术后亦恢复正常。值得注意的是83个成人患者,平均年龄46岁,男性较女性多(82%:18%),打鼾竟成为其家庭破裂和其名誉受损的重要因素。其中80%每晚打鼾,81%产生于任何睡眠姿势,19%只产生于仰卧时。疑为阻塞性睡眠呼吸暂停者占55%;对其中19例行多导程睡眠描记法检查而被肯定者达18例。73%主诉鼻塞,且打鼾重者,鼻塞亦重。体检见中隔畸形和/或下甲畸形与肥厚者80%;软腭、悬雍垂过长、低垂并摇摆的或增厚、肿大者共79%;软腭向后下下降致鼻咽部前后径狭窄
This article aims to evaluate the efficacy of surgical and nonsurgical therapy in 18 children and 83 adults with snorers. In the children group, 13 cases of tonsils and adenoids were hypertrophy and resection; two cases of tonsils not only removed the adenoid; the other two cases of the adenoid has been surgically removed, will be too Large tonsillectomy. All cases were satisfactory results after surgery. An example of snoring system due to chronic maxillary sinusitis and sinusitis caused by nasal obstruction, sinus surgery also returned to normal. It is notable that 83 adult patients, mean age 46 years, had more males than females (82%: 18%) and snoring became an important factor in the rupture of their families and their reputational damage. Eighty-five percent of them snore every night, 81% are in any sleep position and 19% are only in supine position. Suspected as obstructive sleep apnea accounted for 55%; of which 19 cases were confirmed by multi-lead sleep test 18 cases. 73% complained of nasal congestion, and heavy snoring, nasal congestion is also heavy. Physical examination showed septal deformity and / or lower deformity and hypertrophy 80%; soft palate, uvula long, drooping and swinging or thickening, swelling a total of 79%; soft palate down to the nasopharynx A narrow diameter before and after