折叠软腭成形术在阻塞性睡眠呼吸暂停低通气综合征中的应用
[Application of folded soft palate plasty to obstructive sleep apnea hypopnea syndrome].
作者信息
Wang Yong, Li Peihua, Yuan Daoqin, Yang Guihua, Xiao Yang, Chen Jinglian, Liu Wenfu
机构信息
Department of Otorhinolaryngology, Huaguo Hospital of Dongfeng Automobile Coporation, Shiyan 442049, China.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Dec;37(6):415-7.
OBJECTIVE
To explore the effect of the modified (Uvulopalatopharyngoplasty, UPPP) where uvula is reserved completely and the soft palate is folded in the operation.
METHODS
36 patients with the obstructive sleep apnea-hypopnea syndrome (OSAHS) (30 men, 6 women) underwent operation. The uvula and the muscles of the soft palate were reserved completely, and the soft palate was folded during the operation.
RESULTS
31 patients (86.1%) reported improvement of snoring and daytime somnolence. 30 patients (83.33%) showed a decrease of at least 50% in the apnea and hypopnea indices (AHI). No velopalatal insufficiency occurred.
CONCLUSION
The modified UPPP not only enlarges pharyngeal cavity, but also avoids the postoperative complications. The modified UPPP could be better than the traditional operation.
目的
探讨在手术中完全保留悬雍垂并折叠软腭的改良悬雍垂腭咽成形术（UPPP）的效果。
方法
36例阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者（男30例，女6例）接受了手术。术中完全保留悬雍垂和软腭肌肉，并折叠软腭。
结果
31例患者（86.1%）报告打鼾和日间嗜睡症状改善。30例患者（83.33%）的呼吸暂停低通气指数（AHI）至少降低了50%。未发生腭咽闭合不全。
结论
改良UPPP不仅扩大了咽腔，还避免了术后并发症。改良UPPP可能优于传统手术。
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