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扁桃体挤切术在UPPP手术中的应用(附60例分析)

TONSILLECTOMY BY GUILLOTINE IN UVULOPALATOPHARYNGOPLASTY
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摘要 将治疗阻塞性睡眠呼吸暂停综合征( O S A S)的腭咽成形术中的扁桃体切除改为挤切,局麻改为将麻醉药直接注入扁桃体,并在麻醉药中加立止血 1k U、地塞米松 5m g。共行手术 60 例,其中应用电脑扁桃体挤切刀挤切 20 例。结果:60 例手术出血平均在 100m l以下,手术时间平均 45m in,较剥离法减少30m in,出血量明显减少,提示挤切法扁桃体摘除可用于 U P P P 手术。 Operaton was performed in uvulopalatopharyngoplasty (UPPP) in obstructive sleep apnea syndrome with the dope which was mixed with reptilase 1kU and dexamethasone 5mg directly injected into tonsil.60 cases were operated,and 20 cases of them were performed tonsillectomy by guillotine with computer.The results showed that the average amount of bleeding was under l00ml,the average time of course was 45mins, which was 30 mins shorter than that treated by decollement.It is suggested that this is an effective method to do with UPPP.
出处 《山东医大基础医学院学报》 1999年第3期169-170,共2页
关键词 睡眠呼吸暂停 综合征 扁桃体切除 Sleep apnea syndromes Tonsillectomy Case studies
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参考文献1

  • 1汪磊 姜泗长.悬雍垂腭咽成形术.手术学全集.耳鼻咽喉科卷[M].北京:人民军医出版社,1994.459-462.

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