改良悬雍垂腭咽成形术治疗鼾症

Improved Uvulopalatopharyngoplasty to Treat Snoring

目的 探讨改良悬雍垂腭咽形成术治疗鼾症的效果。方法 沿扁桃体前弓上极处向第三磨牙方向切开软腭 ,切断部分腭咽及鼻咽肌的扩约作用 ,以增大鼻咽气道 ,保留中线肌肉系统 ,保留软腭的活动功能 ,清理切口处脂肪及软组织 ,缝合切口处前后的黏膜 ,如悬雍垂过长可切除 2 / 3,然后再塑形。结果 治疗 5 6例患者 ,有效率达 87% ,而鼻腔反流并发症明显减少。结论 应用改良UPPP手术治疗鼾症 ,手术简便安全 ,并发症少 ,术后恢复快。因此 。

Objective To explore the effect of Uvulopalatopharyngoplasty to treat snoring.Methods Along the tonsil up pole to third molar teeth to cut soft plate,truncate some velopharyngeal and dilation of nasopharynx muscle,expand nasopharynx airway,keep middle line muscle system,keep action function of soft palate,clear the fat and soft tissue in incision,suture the mucosa in incision,if uvula too long, could abscise 2/3,after that shaping.Results 56 cases in treatment,cure rate is 87%,and nasal cavity reflux complication is obvious fewer.Conclusion Use UPPP operation to treat snoring,the operation is easy and safe ,the complication are fewer,patient can recover quickly after receiving the operation.Therefore,it has better clinical value.