改良悬雍垂腭咽成形术

Modified uvulopalatopharyngoplasty

目的 为减少悬雍垂腭咽成形术的副损伤及并发症。方法 将传统的悬雍垂腭咽成形术进行了一定的改进和探索。切除肥大扁桃体后 ,于腭咽弓上极向外上方剪开 ,达肌层 ,形成软组织瓣。将此瓣铺入扁桃体窝 ,缝合。将悬雍垂行“A”形切除 ,缝合再造。结果 在适应证选择良好的前提下 ,手术治疗效果与悬雍垂腭咽成形术相当。

Objective To reduce the accompanying injuries and complications.Methods Some researches and modifications were performed on the standard uvulopalatopharyngoplasty (UPPP).After section of proliferative tonsil,the top of palatopharyngeal arch was cut into upper outwards to muscles.The formed tissue valva was laid into tonsil cavity and sewed up.A A form section was performed on uvula.And a smaller one is formed by sewing up the wounded area.Results Giving proper cases,its cure rate was as good as UPPP.Conclusion The authors believe that the surgical method is safe and beneficial to patients with obstructive sleep apnea syndrome.