扁桃体大小对悬雍垂腭咽成形术疗效的影响

The effect of the size of tonsil on Uvulopalatopharygoplasty

目的:研究扁桃体大小对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者UPPP疗效的影响。方法:回顾性分析我科行UPPP手术的OSAHS患者54例,术后1年以上复查PSG确定疗效。结果:不同扁桃体大小组术前的各项指标(年龄、AHI、BMI、最低SpO2);总体均数间差异无统计学意义(P>0.05),但术后各扁桃体组间疗效差异有统计学意义;扁桃体Ⅲ度患者最低SpO2提高明显;在重度OSAHS中,不同疗效组间的扁桃体大小构成差异有统计学意义。结论:扁桃体较大患者手术有效率较高,其最低SpO2也有显著改善;对于重度OSAHS亦应根据个体差异采取不同的治疗措施。

Objective：To investigate how the size of tonsil affects the curative effect of patients with obstructive sleep apnea hypopnea syndrome （OSAHS） treated with Uvulopalatopharyngoplasty （Uppp）. Method： Fifty- four cases with OSAHS treated with UPPP in our department were analyzed retrospectively. The polysomnography（PSG） was examined again one years or longer after operation. Result： There was no statistical difference between different tonsil size groups in age, apnea-hypopnea index（AHI ） , body mass index（BMI） and the lowest Pulse Oxygen Saturation（lowest SpO2 ）before operation. But there was a statistical difference in curative effect after operation between groups. The lowest SpO2 raised obviously in groups with bigger tonsils. In serious OSAHS group, there was a statistical difference in the composing of tonsil size grade in different curative effect groups. Conclusion：Patients with bigger size of tonsil will receive a better result after UPPP while the lowest SpO2 will be improved more prominent. To serious OSAHS, we should treat them individually.