悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征60例报告

Clinical study of uvulopalatopharyngoplasty treatment for obstructive sleep apnea sydrome

为探讨阻塞性睡眠呼吸暂停综合征（OSAS）的治疗方法，对60例本病患者行悬雍垂腭咽成形术（UPPP），其疗效分布是：显效50％，进步33．3％，无效16．7％，总有效率为83．3％。需要注意的关键是：①严格选择病例；②局麻下手术；③术中心电、血氧及血压监测；④重度OSAS患者术前行气管切开术；⑤术前吸氧，应用抗炎、止血药物，避免术后并发症发生。UPPP是治疗OSAS的有效的手术方法，特别适用于咽部狭窄的患者，安全可靠，并发症少。

In order to investigate the treatment of obstructive sleep apnea sydrome (OSAS),we have performed uvulopalatopharyngoplasty (UPPP) operations on 60 cases. The clinical results showed that 50.0 percent of the operated patients somewhat improved and 16. 7 percent unim-proved. The total success rate was 83.3 %. The key ways: ①Proper indication;②Using local anaes-thesia rather than general anaesthesia;③Intraoperative monitor ECG, blood pressure and oxygen saturation; ④Preoprative physician consultation if patients complicated with cardiopulmonary prob-lems. UPPP is one of the effective methods to treat OSAS,especially for OSAS with stricture in pharyngal cavity. It has less damage,less operative complications and so on.