H-UPPP及等离子辅助的H-UPPP治疗OSAHS的临床对比研究

Comparision of H-uvulopalatopharyngoplasty and plasma-assisted H-uvulopalatopharyngoplasty in the treatment of obstructive sleep apnea hypopnea syndrome

目的：对比分析H-UPPP及等离子辅助的H-UPPP治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的临床疗效,探索治疗OSAHS的有效术式。方法：用H-UPPP及等离子辅助的H-UPPP 2种术式分别治疗OSAHS患者35例及29例,随访6个月~3年,分析比较其疗效。结果：2种术式术前、术后PSG检测结果差异均有统计学意义（P〈0.05）,2种术式总疗效比较差异无统计学意义（P〉0.05）,但等离子辅助的H-UP-PP组治愈率加显效率较高（P〈0.05）。结论：H-UPPP及等离子辅助的H-UPPP均为治疗OSAHS的有效术式,等离子辅助的H-UPPP术式对扩大咽腔左右径及增加软腭张力更有优势。

Objective：To compare the clinic effectiveness on OSAHS operated respectively by H-UPPP and plasma-assisted H-UPPP procedures,and to explore a utility operation procedure.Method：Thirty-five cases operated by H-UPPP and 29 cases by plasma-assisted H-UPPP,6~36 months followed-up,the effectiveness analyzed and compared.Result：The difference of polysomnogram results between preoperative and postoperative in the two operation procedures were significantly（P0.05）.But the total effectiveness of H-UPPP and plasma-assisted H-UPPP procedures were found to be similar（P0.05）,nevertheless plasma-assisted H-UPPP procedure has a higher curing and excellence rate（P0.05）.Conclusion：The two operation procedures were in effect,the plasma-assisted H-UPPP procedure was more ascendant in extending the left and right diameter on pharyngeal cavity,increasing tension on soft palate.