悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征的临床疗效
[Clinical therapeutic effect of obstructive sleep apnea hypopnea syndrome treated by uvulopalatopharyngoplasty].
作者信息
Tang Siquan, Feng Jun, Wen Jinsong, Lü Ping, Huang Yanli
机构信息
Department of Otolaryngology, Affiliated Hospital of North Sichuan Medical College, Sichuan, 637000, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Mar;21(6):251-3.
OBJECTIVE
To investigate the therapeutic effect of obstructive sleep apnea hypopnea syndrome (OSAHS) by modified uvulopalatopharyngoplasty (UPPP).
METHOD
Forty-nine cases of OSAHS were treated by modified UPPP, and followed-up on 6 months, 1 year and 2 years after operation and carried out polysomnography (PSG) every time.
RESULT
Therapeutic effect was evaluated by standard of Hangzhou (2002) . In 6 months, symptoms of snore, breath holding, headache and lethargy disappeared or reduced obviously, the total effective rate was 100%. In 12 and 24 months, the effective rate was 95.92% and 91.84% respectively.
CONCLUSION
This operation can enlarge venting area of palatopharyngeal cavity effectively and keep density of soft palate as well as the normal function of pharyngeal mucous membrane, and can also elevate operative effect and decrease postoperative complications.
目的
探讨改良悬雍垂腭咽成形术（UPPP）治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的疗效。
方法
对49例OSAHS患者采用改良UPPP治疗，术后6个月、1年和2年进行随访，每次均行多导睡眠图（PSG）检查。
结果
参照杭州（2002年）标准评价疗效。术后6个月，打鼾、憋气、头痛及嗜睡等症状消失或明显减轻，总有效率为100%。术后12个月和24个月有效率分别为95.92%和91.84%。
结论
该手术能有效扩大腭咽腔通气面积，保持软腭厚度及咽黏膜正常功能，提高手术效果，减少术后并发症。
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