改良UPPP与传统UPPP治疗阻塞性睡眠呼吸暂停低通气综合征的疗效比较

Contrast the curative effect of the improved UPPP and traditional UPPP in treating OSAHS

目的:比较保留软腭和部分悬雍垂的改良UPPP与传统UPPP治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法:选择OSAHS患者85例,分别采取改良UPPP(44例)与传统UPPP(41例),全部病例术后随访6个月和1年,比较其疗效。结果:术后6个月,改良UPPP总有效率56.82%(25/44),传统UPPP总有效率58.54%(24/41),但差异无统计学意义(P>0.05)。鼻咽返流等并发症发生率改良UPPP为36.36%(16/44),传统UPPP68.29%(28/41),差异有统计学意义(P<0.05)。术后1年,改良UPPP总有效率47.73%(21/44),传统UPPP组总有效率46.34%(19/41),但差异无统计学意义(P>0.05)。鼻咽返流等并发症发生率前者为27.27%(12/44),后者73.17%(30/41),差异有统计学意义(P<0.05)。结论:对口咽部阻塞为主的OS-AHS患者采用改良的UPPP能取得和传统的UPPP治疗相同的疗效,能相对减少各种并发症的发生。

Objective：To compare the curative effect of the reserving soft palate and part uvula UPPP and traditional UPPP in OSAHS Patients. Method： Eighty-five OSAHS patients were selected and were performed two groups ：improved UPPP（44 cases） and traditional UPPP（41 cases）. The follow-up was carried out in 6 months and 1 year after operation, and the curative effects were compared. Result： The improved UPPP had been performed on forty-four patients and the traditional UPPP on forty-one patients. The total effective rate in improved UPPP group was 56.82% （25/44）,in UPPP group was 58.54% （24/41）6 months later, there was no statistically significant difference between them（ P 〉0.05）. The total rate of the postoperative complication in improved group was 36.36%（16/44） ,in traditional UPPP group was 68.29%（28/41） 6 months later, there was a statistically significant difference between them（ P〈0.05）. The total effective rate in improved UPPP group was 47.73% （21/ 44）, in traditional UPPP group was 46.34 % （19/41）1 year later, there was no significant difference between them （ P〉0.05）. The total rate of the postoperative complication in improved UPPP group was 27.27% （12/44）,in traditional UPPP group was 73. 17% （30/41）1 year later, there was a statistically significant difference between them（ P〈0.05）. Conclusion：It may get identical curative effect to use improved UPPP and traditional UPPP for those oropharynx obstruction OSAHS patients. But improved UPPP may efficiently reduce the rate of the postoperative complication.