咽后壁瓣咽成形术相关通气功能障碍及应对

Management of ventilatory dysfunction associated with posterior pharyngeal flap pharyngoplasty

摘要

咽后壁瓣咽成形术通过机械封堵的形式矫正腭咽闭合不全，获得语音改善的同时牺牲部分通气功能，存在较高通气功能障碍风险。有效预防和处理通气并发症对咽后壁瓣患者手术安全及生存质量至关重要，是序列治疗不容忽视的重要环节。然而，咽瓣术后通气障碍发生的相关因素及应对措施等尚未明确。本文围绕咽后壁瓣咽成形术通气并发症的流行病学特征、病理发生机制、评估诊断方法和防治应对手段展开讨论，旨在为进一步优化气道问题相关的唇腭裂序列治疗提供参考。

Abstract

Posterior pharyngeal flap pharyngoplasty corrects velopharyngeal insufficiency by mechanically occluding the airway. Speech is improved in sacrifice of partial ventilation, increasing perioperative and long-term airway risks. Effective prevention and intervention of airway complications are critical to patient safety and life quality and cannot be ignored in sequence therapy. However, pharyngeal flap-related airway issues await further clarification. This paper focuses on the epidemiological characteristics, pathological mechanism, evaluation and diagnosis methods, and prevention and treatment of ventilation complications of posterior pharyngeal flap pharyngoplasty to provide reference for further optimization of the sequence treatment of cleft lip and palate related to airway problems.

关键词

腭裂 / 腭咽闭合不全 / 咽成形术 / 鼻通气 / 睡眠呼吸暂停

Key words

cleft palate / velopharyngeal insufficiency / pharyngoplasty / nasal ventilation / sleep apnea

Author summay

李亚楠，住院医师，硕士，Email：[e-mail]