Yu Tsung-Che, Huang Ting-Chieh, Chen Po-Yueh, Shih Chun-Che, Chang Wei-Wen
Department of Otolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan.
Division of Cardiovascular Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan.
J Funct Biomater. 2023 Jun 26;14(7):337. doi: 10.3390/jfb14070337.
This retrospective study compared the effectiveness of different materials used in Uvulopalatopharyngoplasty (UPPP) for snoring or obstructive sleep apnea treatment, focusing on the impact on bleeding control, pain control, and healing ability. The study population comprised 213 patients who underwent UPPP at Wan-Fang Hospital between July 2018 and October 2022 divided into four groups based on the postoperative material used: No Material Use Group, Tissue Glue Group, Platelet-Rich Plasma (PRP) Group, and Polyglycolic Acid (PGA) Sheet Group. Results showed significant differences in operation time and intraoperative bleeding amount among the groups, with the Tissue Glue Group demonstrating the shortest operation time. While no significant differences in postoperative pain at 24 h were observed, PRP and PGA Sheet groups exhibited lower average pain scores in cases with higher pain levels. Postoperative complications and emergency room visits due to pain or bleeding varied among the groups, with the No Material Use Group having the highest incidence, although no statistical significance was achieved. This study provides insights into the potential benefits of using advanced materials in UPPP, guiding future research and clinical practice to improve patient care and outcomes.
这项回顾性研究比较了悬雍垂腭咽成形术(UPPP)中使用的不同材料在治疗打鼾或阻塞性睡眠呼吸暂停方面的有效性,重点关注对出血控制、疼痛控制和愈合能力的影响。研究对象为2018年7月至2022年10月在万芳医院接受UPPP手术的213例患者,根据术后使用的材料分为四组:未使用材料组、组织胶水组、富血小板血浆(PRP)组和聚乙醇酸(PGA)片组。结果显示,各组之间的手术时间和术中出血量存在显著差异,组织胶水组的手术时间最短。虽然在术后24小时观察到的疼痛无显著差异,但在疼痛程度较高的病例中,PRP组和PGA片组的平均疼痛评分较低。各组术后因疼痛或出血导致的并发症和急诊就诊情况各不相同,未使用材料组的发生率最高,尽管未达到统计学意义。本研究为UPPP中使用先进材料的潜在益处提供了见解,指导未来的研究和临床实践,以改善患者护理和治疗效果。