摘要
目的:探讨扩展咽腔横径治疗阻塞性睡眠呼吸暂停低通气综合征的疗效。方法:对36例阻塞性睡眠呼吸暂停低通气综合征的患者。在行常规悬雍垂腭咽成形术(UPPP)后,将咽弓上缘向外上切开,充分外展咽弓,测量手术前后咽腔横径距离,与常规UPPP手术前后的咽腔扩展程度进行比较,并观察临床症状消失情况。砧果:手术后患者6个月有效率为81.12%,1年有效率为68.65%。改良UPPP手术后的咽腔较常规手术后咽腔增大1-2cm.结论:改良UPPP手术是扩展咽腔横径的有效方法,值得临床推广。
Objective: To explore the operation effect for obstructive sleep apnea hyponea syndrome(OSAHS) by enlarging pharyngeal space transverse diameter. Methods: A new kind of operation, modified uvulopalatopharyngoplasty(UPPP) was performed on 36 patients with OSAHS. The operation procedure included to split the superior edge of the palatopharyngeal bow forward to the lateral-superior direction, then to abduct the palatopharyngeal bow adequately, and at last to measure and compare the pharyngeal space before and after operation. Results: All the patients receiving the modified UPPP got a satisfied effect. The pharyngeal space increased by 1 - 2 cm compared with the result of routine UPPP. The curative rate of 6-month and 1-year was 81.12% and 68.65% respectively. Conclusion: The modified UPPP can enlarge pharyngeal space transverse diameter adequately and is a good method for OSAHS.
出处
《山东大学耳鼻喉眼学报》
CAS
2006年第2期163-164,共2页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
睡眠呼吸暂停综合征
悬雍垂腭咽成形术
改良
Obstructive sleep apnea hypopnea syndrome
Uvulopalatopharyngoplasty
Modified