摘要
本文手术治疗10例阻塞性睡眠呼吸暂停综合征(OSAS)。病程最长23年,最短5年。打鼾频繁,每次吸气有鼾声。呼吸暂停平均6次/小时,10^+S/次。6例伴高血压病,2例明显肥胖。10例均以口咽腔狭小为主,3例线舌肥厚,2例鼻中隔偏曲。在高血压最大限度控制下,10例全行悬雍垂腭咽成形术(UPPP)。1例全麻,因伤口出血术中作气管切开,另9例局麻手术。术中心电监护,吸氧,增加手术安全性。效果良好,无严重并发症。UPPP是治疗OSAS患者有效、简便及常用的方法。术后咽腔扩大、缺氧改善、血气分析及血粘滞度有改善。随访已回3例,效果持久,最长随访时间4年,最短半年。
From 1990, 1 to 1995, 6. 10 patients with obstructive sleep apnea syndrome (OSAS)were treated by uvulopalatopharyngoplasty (UPPP). They were 9 male and 1 female withmean 50 years old. Snoring was frequently and apnea was 6 time per hour in average andlasted for 10 seconds per time. 6 of these cases with hypertension, 3 cases with lingual hy-pertrophy, 2 cases with deviation of nasal septum. Operation of one patien was carried outunder general anesthesia and for bleeding during operation tracheotomy was carried out. Therest were under local anesthesia. It suggested that UPPP was safe, less complication, goodeffect.
