保留悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效分析

Therapeutic effect of H-uvulopalatopharyngoplasty for obstructive sleep apnea hypopnea syndrome

目的探讨保留悬雍垂腭咽成形术（H—UPPP）在治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）中的应用及近期临床疗效。方法对2008年12月-2011年12月在我院经PSG监测确诊为OSAHS并行H-UPPP术，且术后6个月有明确随访记录的36例患者的临床资料进行回顾性分析，并对其疗效进行评定。结果所有患者术后6个月复查，其中治愈9例（25％），显效13例（36．11％），有效11例（30．56％），无效3例（8．33％），总有效率为91．67％，所有患者术后均无严重并发症。结论应用H-UPPP术治疗腭咽平面阻塞的OSAHS，手术安全可靠，疗效确切，手术并发症发生率较低。

Objective To explore the application and therapeutic effect of H-uvulopalatopharyngoplasty （H- UPPP） for obstructive sleep apnea hypopnea syndrome （OSAHS）. Methods From Dec 2008 to Dec 2011, H- UPPP was applied to 36 patients with OSAHS diagnosed by polysommography （PSG）. All the patients were followed up 6 months postoperatively. The clinical data was analyzed retrospectively for the evaluation of therapeutic effect. Results According to the criteria for OSAHS, the curative rate was 25% （9/36） , the significant effective rate was 36. 11% （13/36） and the effective rate was 30.56% （11/36） with a total effective rate of 91.67% . No serious complications occurred. Conclusions With advantages of good clinical effect and high safety, H-UPPP is a useful surgical method for OSAHS.