影响悬雍垂腭咽成形术疗效的因素分析

目的探讨影响悬雍垂腭咽成形术疗效的因素。方法对33例我科诊断为阻塞性睡眠呼吸暂停低通气综合征患者行保留悬雍垂的腭咽成形术,对手术疗效、影响因素进行分析、比较。结果阻塞性睡眠呼吸暂停低通气综合征的主要阻塞部位在腭咽腔及舌咽腔,多数适于行悬雍垂腭咽成形术,但因受呼吸道其他部位阻塞因素的影响,导致手术疗效参差不齐。结论术前明确咽腔的阻塞部位,对估计阻塞性睡眠呼吸暂停低通气综合征患者的手术疗效具有重要临床指导意义。

Objective To study the relationship between curative effect and influencing factors of uvulopalatopharyngoplasty. Methods 33 patients with obstructive sleep apnea-hypopnea syndrome were accepted uvulopalatopharyngoplasty with remaining uvula. In the same time, the curative effects and influencing factors of the patients were observed and studied. Results The main obstructive positions of obstructive sleep apnea- hypopnea syndrome are the cavities of palatum and glossopharyngeum, and most of patients are suitable for the uvulopalatopharyngoplasty, but the curative effects are extremely different due to different obstructive positions. Conclusion It is very important for doctors to identify the obstructive position of patients in pre operation time that will help them to estimate the curative effect of uvulopalatopharyngoplasty treating obstructive sleep apnea-hypopnea syndrome.