论文部分内容阅读
目的:改进经典的UPPP手术方法,探讨治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS),减少术后并发症的方法。方法:对49例OSAHS患者行改良UPPP;术后6、12、24个月随访,每次随访均行PSG测定。参照杭州会议(2002年)标准评定疗效。结果:患者打鼾、憋气、头痛及嗜睡等症状均于6个月内明显减轻或消失,经PSG监测,总有效率为100%。术后12、24个月经PSG监测,其疗效分别为95.92%和91.84%。结论:此术式可有效地扩大腭咽腔的通气面积,保持软腭的紧张度及咽黏膜的正常功能;术后并发症少,治疗效果良好。
Objective: To improve the classic method of UPPP surgery, to explore the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS) and reduce postoperative complications. Methods: 49 cases of OSAHS patients underwent modified UPPP; 6,12,24 months after follow-up, PSG were measured at each follow-up. With reference to the Hangzhou meeting (2002) standard assessment of efficacy. Results: The symptoms of snoring, suffocation, headache and drowsiness in patients were significantly reduced or disappeared within 6 months. The total effective rate was 100% after PSG monitoring. After 12,24 months after PSG monitoring, the efficacy was 95.92% and 91.84%. Conclusion: This procedure can effectively expand the ventilation area of the velopharyngeal cavity, maintain the soft palate tension and the normal function of the pharyngeal mucosa; less postoperative complications, the treatment effect is good.