{"id":2881,"date":"2026-10-02T14:47:08","date_gmt":"2026-10-02T06:47:08","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&p=2881"},"modified":"2026-10-03T10:19:21","modified_gmt":"2026-10-03T02:19:21","slug":"%e4%b8%a5%e9%87%8d%e6%89%93%e5%91%bc%e7%99%bd%e5%a4%a9%e5%97%9c%e7%9d%a1%e9%97%ae%e9%a2%98%e5%8f%af%e8%83%bd%e8%97%8f%e5%9c%a8%e4%b8%8b%e5%b7%b4%e5%90%8e%e7%bc%a9","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/zh\/case\/%e5%9a%b4%e9%87%8d%e6%89%93%e5%91%bc%e7%99%bd%e5%a4%a9%e5%97%9c%e7%9d%a1%e5%95%8f%e9%a1%8c%e5%8f%af%e8%83%bd%e8%97%8f%e5%9c%a8%e4%b8%8b%e5%b7%b4%e5%be%8c%e7%b8%ae\/","title":{"rendered":"\u4e25\u91cd\u6253\u547c\u3001\u767d\u5929\u55dc\u7761\uff1f\u95ee\u9898\u53ef\u80fd\u85cf\u5728\u4e0b\u5df4\u540e\u7f29\uff01"},"content":{"rendered":"
\u672f\u524d\u75c7\u72b6<\/td>\u624b\u672f\u8ba1\u753b<\/td><\/tr>
\u4e0a\u4e0b\u989a\u9aa8\u540e\u7f29
\u91cd\u5ea6\u963b\u585e\u578b\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7
\u820c\u9aa8\u4f4d\u7f6e\u5f02\u5e38\u4f4e\u4f4d<\/td>		3D\u5ba2\u5236\u5316\u6b63\u989a\u624b\u672f\uff08\u53cc\u989a\u65cb\u8f6c\u524d\u79fb\u624b\u672f\uff09
\u4f4e\u4f4d\u820c\u9aa8\u7684\u4e0a\u63d0\u4e0e\u524d\u79fb
\u8f6e\u5ed3\u6bd4\u4f8b\u91cd\u5efa<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u4e34\u5e8a\u4e0a\u5904\u7406\u4e2d\u91cd\u5ea6\u963b\u585e\u578b\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\uff08OSA\uff09\u60a3\u8005\u65f6\uff0c\u82e5\u75c5\u56e0\u4e3b\u8981\u6765\u81ea\u9885\u989c\u9aa8\u9abc\u53d1\u80b2\u4e0d\u8db3\uff08Craniofacial skeletal deficiency\uff09\uff0c\u4f20\u7edf\u8f6f\u7ec4\u7ec7\u624b\u672f\u6216\u6b63\u538b\u547c\u5438\u5668\uff08CPAP\uff09\u987a\u4ece\u6027\u4e0d\u4f73\u7684\u4e2a\u6848\uff0c\u53cc\u989a\u65cb\u8f6c\u524d\u79fb\u624b\u672f\uff08Maxillomandibular Advancement, MMA\uff09\u5e38\u626e\u6f14\u5173\u952e\u7684\u9aa8\u9abc\u7ed3\u6784\u91cd\u5851\u89d2\u8272\u3002<\/p>\n\n\n\n

\u672c\u6b21\u5206\u4eab\u4e00\u540d 37 \u5c81\u7537\u6027\u91cd\u5ea6 OSA \u5408\u5e76\u660e\u663e\u65e5\u95f4\u55dc\u7761\uff08EDS\uff09\u4e4b\u8de8\u5b66\u79d1\u8f6c\u8bca\u6848\u4f8b\uff1a <\/p>\n\n\n\n

\u4e00\u3001 \u672f\u524d\u8bc4\u4f30\u4e0e\u89e3\u5256\u5f02\u5e38\u5206\u6790<\/h2>\n\n\n\n
\n
\"\u4e0b\u989a\u540e\u7f29\u60a3\u8005\u6b63\u989a\u624b\u672f\u524d\u540e\u76843D\u9aa8\u9abcCT\u5bf9\u6bd4\"<\/figure>\n<\/figure>\n\n\n\n
    \n
  • \u7761\u7720\u547c\u5438\u751f\u7406\u5b66\u8868\u73b0\uff1a\u672f\u524d\u5c45\u5bb6\u7761\u7720\u68c0\u6d4b\uff08HST\uff09\u663e\u793a\u4e3a\u6781\u91cd\u5ea6 OSA\uff0cAHI \u9ad8\u8fbe 55.3 \u6b21\/\u5c0f\u65f6\uff08\u4ef0\u5367\u4f4d\u8fbe 62.2 \u6b21\/\u5c0f\u65f6\uff09\uff0c3% ODI \u4e3a 55.4 \u6b21\/\u5c0f\u65f6\uff0c\u6700\u4f4e\u8840\u6c27\u9971\u548c\u5ea6\uff08Min SpO2\uff09\u8dcc\u81f3 77.0%\uff0c\u8840\u6c27\u5c0f\u4e8e 88% \u7684\u7d2f\u79ef\u7f3a\u6c27\u65f6\u95f4\u957f\u8fbe 46.0 \u5206\u949f\uff08\u5360\u603b\u7761\u7720\u65f6\u95f4 11.1%\uff09\u3002 <\/li>\n\n\n\n
  • \u9885\u989c\u4e0e\u547c\u5438\u9053\u7535\u8111\u65ad\u5c42\uff08CT\uff09\u8bc4\u4f30\uff1a\n
      \n
    1. \u4e0a\u4e0b\u989a\u9aa8\u590d\u5408\u4f53\u5448\u73b0\u663e\u8457\u540e\u7f29\uff08Retrusive Maxilla & Mandible\uff09\uff0c\u5bfc\u81f4\u53e3\u54bd\uff08Oropharynx\uff09\u53ca\u4e0b\u54bd\u90e8\uff08Hypopharynx\uff09\u524d\u540e\u5f84\u4e25\u91cd\u72ed\u7a84\u3002 <\/li>\n\n\n\n
    2. \u820c\u9aa8\u4f4d\u7f6e\u5f02\u5e38\u4f4e\u4f4d\uff08Low Hyoid Bone\uff09\uff0c\u820c\u6839\u90e8\u808c\u8089\u7f3a\u4e4f\u5145\u8db3\u9aa8\u6027\u9644\u7740\u524d\u62c9\u529b\u91cf\uff0c\u5e73\u8eba\u65f6\u820c\u6839\u584c\u9677\u963b\u585e\u540e\u547c\u5438\u9053\u3002<\/li>\n\n\n\n
    3. \u60a3\u8005\u6570\u5e74\u524d\u4e8e\u4ed6\u5904\u63a5\u53d7\u5927\u578b\u77fd\u80f6\u4e0b\u5df4\u5047\u4f53\u690d\u5165\uff0cCT \u53ef\u89c1\u4e0b\u5df4\u690d\u5165\u7269\u9020\u6210\u5c40\u90e8\u76ae\u8d28\u9aa8\u538b\u8feb\u4fb5\u8680\uff0c\u4f46\u672a\u89e3\u51b3\u988f\u820c\u808c\uff08Genioglossus\uff09\u53ca\u820c\u9aa8\u4e0a\u808c\u7fa4\u540e\u7f29\u7684\u751f\u7406\u7ed3\u6784\u9650\u5236\u3002<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n\n\n\n

      \u4e8c\u3001 \u624b\u672f\u89c4\u5212\u4e0e\u6267\u884c\u7b56\u7565<\/h2>\n\n\n\n
        \n
      • \u9006\u65f6\u9488\u65cb\u8f6c\u53cc\u989a\u524d\u79fb\u672f\uff08Counter-Clockwise MMA\uff09\uff1a\u900f\u8fc7 Le Fort I \u622a\u9aa8\u672f\u4e0e\u53cc\u4fa7\u4e0b\u989a\u679d\u77e2\u72b6\u5288\u5f00\u672f\uff08BSSO\uff09\uff0c\u4ee5 CCW \u65b9\u5f0f\u65cb\u8f6c\u54ac\u5408\u5e73\u9762\uff0c\u5728\u63a7\u5236\u989c\u9762\u4e2d\u4e0b\u90e8\u5782\u76f4\u9ad8\u5ea6\u4e0e\u524d\u7259\u6295\u5c04\u89d2\u5ea6\u7684\u540c\u65f6\uff0c\u8fbe\u6210\u4e0b\u989a\u4f53\u4e0e\u820c\u57fa\u5e95\u5411\u524d\u65b9\u5145\u5206\u4f4d\u79fb\u3002<\/li>\n\n\n\n
      • \u77fd\u80f6\u5047\u4f53\u79fb\u9664\u5408\u5e76\u81ea\u4f53\u9aa8\u524d\u79fb\u988f\u6210\u5f62\u672f\uff08Advancement Genioplasty\uff09\uff1a\u672f\u4e2d\u5b8c\u6574\u53d6\u51fa\u77fd\u80f6\u5047\u4f53\uff0c\u4ee5\u9aa8\u5207\u5f00\u524d\u79fb\u56fa\u5b9a\u53d6\u4ee3\uff1b\u6b64\u4e3e\u53ef\u5411\u524d\u7275\u5f15\u988f\u4e0b\u808c\u7fa4\u4e0e\u988f\u820c\u808c\uff0c\u5e26\u52a8\u820c\u6839\u5411\u524d\u8131\u79bb\u540e\u54bd\u58c1\u3002<\/li>\n<\/ul>\n\n\n\n

        \u4e09\u3001 \u672f\u540e CT \u5f71\u50cf\u4e0e\u7ed3\u6784\u89e3\u8bfb<\/h2>\n\n\n\n
        \"\u4e0b\u989a\u540e\u7f29\u60a3\u8005\u6b63\u989a\u624b\u672f\u524d\u540e\u7684\u8f6f\u7ec4\u7ec7\u4fa7\u8c8c\u5bf9\u6bd4\"<\/figure>\n\n\n\n
        \n
        \"\u4e0b\u989a\u540e\u7f29\u60a3\u8005\u6b63\u989a\u624b\u672f\u524d\u540e\u7684\u547c\u5438\u9053\u4e0e\u820c\u9aa8\u4f4d\u7f6e\u5bf9\u6bd4\"<\/figure>\n<\/figure>\n\n\n\n
          \n
        1. \u540e\u547c\u5438\u9053\u5bb9\u79ef\u6269\u589e\uff08PAS Expansion\uff09\uff1a\u672f\u540e\u77e2\u72b6\u5207\u9762\u4e0e 3D \u6c14\u9053\u91cd\u7ec4\u663e\u793a\uff0c\u53e3\u54bd\u90e8\u4e0e\u4e0b\u54bd\u90e8\u6700\u5c0f\u524d\u540e\u5f84\u5448\u500d\u6570\u6269\u5f20\uff0c\u539f\u672c\u584c\u9677\u5448\u7ec6\u88c2\u9699\u72b6\u7684\u540e\u54bd\u58c1\u7a7a\u95f4\u6062\u590d\u4e3a\u5bbd\u655e\u67f1\u72b6\u7ba1\u9053\u3002<\/li>\n\n\n\n
        2. \u4f4e\u4f4d\u820c\u9aa8\u7684\u4e0a\u63d0\u4e0e\u524d\u79fb\uff08Hyoid Superior-Anterior Repositioning\uff09\uff1a\u968f\u820c\u9aa8\u4e0a\u808c\u7fa4\uff08Suprahyoid muscles\uff09\u53ca\u4e0b\u989a\u9aa8\u4f53\u524d\u79fb\uff0c\u4f4e\u4f4d\u820c\u9aa8\u88ab\u5e26\u52a8\u81f3\u524d\u4e0a\u65b9\u89e3\u5256\u4f4d\u7f6e\uff0c\u663e\u8457\u63d0\u5347\u54bd\u90e8\u4fa7\u58c1\u4e0e\u820c\u57fa\u5e95\u7684\u652f\u6491\u5f20\u529b\u3002<\/li>\n\n\n\n
        3. \u8f6e\u5ed3\u6bd4\u4f8b\u91cd\u5efa\uff1a\u6539\u5584\u4e0b\u4e0b\u5df4\u5185\u7f29\u4e0e\u4e0b\u989a\u9888\u89d2\u949d\u5316\u7684\u9aa8\u9abc\u8f6e\u5ed3\uff0c\u6539\u5584\u5047\u4f53\u9020\u6210\u7684\u89e3\u5256\u7a81\u5140\u611f\uff0c\u517c\u987e\u529f\u80fd\u4e0e\u989c\u9762\u7f8e\u5b66\u7684\u534f\u8c03\u3002 <\/li>\n<\/ol>\n\n\n\n

          \u56db\u3001 \u672f\u540e\u7761\u7720\u76d1\u6d4b\uff08HST\uff09\u6570\u636e\u5bf9\u6bd4\u5206\u6790<\/h2>\n\n\n\n
          \"\u6b63\u989a\u624b\u672f\u524d\u540e\u7761\u7720\u68c0\u6d4b\u62a5\u544a\u4e0eAHI\u53d8\u5316\u5bf9\u6bd4\"<\/figure>\n\n\n\n

          \u672f\u540e\u8ffd\u8e2a\u7761\u7720\u62a5\u544a\u663e\u793a\u751f\u7406\u6307\u6807\u6539\u5584\uff1a <\/p>\n\n\n\n

            \n
          • AHI \/ REI(\u547c\u5438\u4e2d\u6b62\u4f4e\u901a\u6c14\u6307\u6570)\uff1a\u7531 55.3 \u6b21\/\u5c0f\u65f6\u964d\u81f3 4.9 \u6b21\/\u5c0f\u65f6\uff08\u4ef0\u5367\u4f4d\u964d\u81f3 6.6 \u6b21\/\u5c0f\u65f6\uff09\uff0c\u6570\u503c\u843d\u5165\u6b63\u5e38\u8303\u56f4\u5185\uff08<5\uff09\u3002\u00a0<\/li>\n\n\n\n
          • 3%ODI(\u6bcf\u5c0f\u65f6\u8840\u6c27\u4e0b\u964d\u2265 3% \u7684\u6b21\u6570)\uff1a\u7531 55.4 \u6b21\/\u5c0f\u65f6\u964d\u81f3 2.5 \u6b21\/\u5c0f\u65f6\u3002<\/li>\n\n\n\n
          • RDI(\u8840\u6c27\u4e0b\u964d\u6307\u6570)\uff1a\u7531 56.0 \u964d\u81f3 7.0 \u6b21\/\u5c0f\u65f6\uff08\u8fbe\u8f7b\u5ea6\u4e34\u754c\uff09\u3002\u00a0<\/li>\n\n\n\n
          • \u8840\u6c27\u8868\u73b0\uff1a\u6700\u4f4e\u8840\u6c27\u7531 77.0% \u63d0\u5347\u81f3 91.0%\uff1b\u66f4\u663e\u8457\u7684\u662f\uff0c\u8840\u6c27\u4f4e\u4e8e 88% \u7684\u65f6\u95f4\u7531 46.0 \u5206\u949f\u5f52\u96f6\u81f3 0 \u5206\u949f\uff080.0%\uff09\uff0c\u5168\u665a 100% \u7761\u7720\u65f6\u95f4\u7ef4\u6301\u5728 90% \u4ee5\u4e0a\u8840\u6c27\u6d53\u5ea6\u3002 <\/li>\n\n\n\n
          • \u4e34\u5e8a\u75c7\u72b6\uff1a\u60a3\u8005\u81ea\u89c9\u65e5\u95f4\u55dc\u7761\u75c7\u72b6\u7f13\u89e3\uff0c\u6668\u8d77\u5934\u75db\u4e0e\u547c\u5438\u4e2d\u65ad\u611f\u672a\u518d\u51fa\u73b0\uff0c\u767d\u65e5\u7cbe\u795e\u4e0e\u5de5\u4f5c\u4e13\u6ce8\u5ea6\u6539\u5584\u3002<\/li>\n<\/ul>\n\n\n\n

            \u3010\u4e34\u5e8a\u5c0f\u7ed3\u3011<\/h2>\n\n\n\n

            \u5bf9\u4e8e\u9aa8\u9abc\u540e\u7f29\u578b\u91cd\u5ea6 OSA\uff0cMMA \u4e0d\u5355\u662f\u6269\u5927\u8f6f\u989a\u540e\u65b9\u7a7a\u95f4\uff0c\u800c\u662f\u900f\u8fc7\u9aa8\u67b6\u524d\u79fb\u62c9\u52a8\u6574\u4e2a\u820c\u9aa8\u808c\u8171\u94fe\uff08Hyoid apparatus\uff09\u3002\u6b22\u8fce\u5404\u4e13\u79d1\u533b\u5e08\u4ea4\u6d41\u8f6c\u8bca\u8bc4\u4f30\uff0c\u5171\u540c\u4e3a\u96be\u6cbb\u578b\u7761\u7720\u547c\u5438\u969c\u788d\u60a3\u8005\u63d0\u4f9b\u7ed3\u5408\u7ed3\u6784\u91cd\u5efa\u7684\u6cbb\u7597\u65b9\u6848\u3002<\/p>\n\n\n\n

            <\/p>\n\n\n\n

            <\/p>","protected":false},"excerpt":{"rendered":"

            \u8fd9\u4f4d\u957f\u671f\u53d7\u4e25\u91cd\u6253\u547c\u3001\u767d\u5929\u55dc\u7761\u56f0\u6270\u7684\u91cd\u5ea6\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u60a3\u8005\uff0c\u68c0\u67e5\u540e\u53d1\u73b0\u4e0b\u5df4\u540e\u7f29\u4e0e\u547c\u5438\u9053\u72ed\u7a84\u3002\u672c\u6587\u8bb0\u5f55\u4ed6\u63a5\u53d7\u6b63\u989a\u624b\u672f\u524d\u540e\u7684CT\u3001\u547c\u5438\u9053\u7a7a\u95f4\u4e0e\u7761\u7720\u68c0\u6d4b\u53d8\u5316\u22ef<\/p>","protected":false},"author":21,"featured_media":2883,"template":"","class_list":["post-2881","case","type-case","status-publish","has-post-thumbnail","hentry"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":8}},"acf":[],"_links":{"self":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/case\/2881","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/case"}],"about":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/types\/case"}],"author":[{"embeddable":true,"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/users\/21"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/media\/2883"}],"wp:attachment":[{"href":"https:\/\/www.mch-osa.com\/zh\/wp-json\/wp\/v2\/media?parent=2881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}