阻塞性睡眠呼吸暂停低通气综合征患者腭咽成形术后并发症发生率对比分析

Pharyngeal side effects following uvulopalatopharyngoplasty in patients with obstructive sleep apnea hypopnea syndrome

目的:评估悬雍垂腭咽成形术(UPPP)手术治疗OSAS患者术后出现咽部干燥、咽异物感等并发症发生率。方法:对经UPPP手术治疗后OSAS患者52例,进行术后随访评估。随访采用问卷方法,与正常人咽部干燥及咽异感症作对比。结果:随访5年中,OSAS组46例排除糖尿病的患者中,16例出现咽部干燥,对照组63例中12例出现,差异有统计学意义(P<0.05);OSAS组22例出现咽异感症,对照组12例出现,差异有统计学意义(P<0.01)。结论:OSAS患者UPPP术后咽异感症及咽部干燥患者较多,为创伤刺激及瘢痕愈合所致,应予重视。UPPP术后出现音色改变的可能性不大。

Objective： To evaluate the incidence of pharyngeal xeransis and pharyngeal paraesthesia following uvulopalatopharyngoplasty（UPPP） in patients with obstructive sleep apnea syndrome （OSAS）. Method： Fifty-two patients were subjected to UPPP and followed up. Questionnaires were used to compare the incidence of pharyngeal xeransis and pharyngeal paraesthesia between them and healthy controls. Results： During a 5-year follow-up, 16 of the 46 patients excluding diabetics had pharyngeal xeransis and 22 had pharyngeal paraesthesia. In the control group, 12 had pharyngeal xeransis and 12 had pharyngeal paraesthesia. There was a significant difference between the two groups. Conclusions： Pharyngeal xeransis and pharyngeal paraesthesia are more common in patients after UPPP than in healthy adults, which may be a result of wound excitation and cicatricle concrescence. The timbre is possibly not changed.