悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的疗效观察

Clinical study on uvulopalatopharyngoplasty in treatment of obstructive sleep apnea-hypopnea syndrome

目的观察悬雍垂腭咽成形术(UPPP)治疗阻塞性睡眠呼吸暂停综合征(OSAHS)患者的临床疗效,并探讨如何评判OSAHS的手术指征。方法对符合手术指征的286例OSAHS病患者进行UPPP手术,根据其术前及术后整夜多导睡眠图(PSG)检查结果作自身对照分析。结果286例OSAHS患者中,术后较术前PSG监测指标〔呼吸暂停总时间(AI)、呼吸暂停及低通气指数(AHI)、最低血氧饱和度(SaO2)〕有显著性差异,AHI<15,SaO2>97%,总有效率达93%。结论UPPP是治疗OS-AHS效果较好的手术方法。

Objective To observe the therapeutic effect of uvulopalatopharyngoplasty（UPPP） on the patients with obstructive sleep apnea-hypopnea syndrome（OSAHS） ,and to explore a simple method to assess the surgical indications of these patients. Meth- ods Two-hundred and eighty six patients with OSAHS disease were treated with UPPP,the results of PSG monitoring on the patients were divided into 2 groups according to these results of pre and post operations. Results The apnea index（AI） ,apnea-hypopnea index（AHI）,SaO2 of postoperation were significantly different from that of preoperation, Conclusion UPPP is effective for OSAHS.