激光悬雍垂腭咽成形术术后并发症分析

Analysis of Complications after Laser-assisted Uvulopalatopharyngoplasty Treatment for Obstructive Sleep Apnea Syndrome

目的 评价激光悬雍垂腭咽成形术 (LAUP)治疗阻塞性睡眠呼吸暂停综合征 (OSAS)的安全性。方法 将 1994年 4月至 1999年 11月接受LAUP手术的 2 4 3例OSAS患者的术后并发症进行回顾性研究。结果 患者术后均感疼痛 ,平均疼痛期为 13 7天 ,平均剧痛期 (不敢吞咽 )为 3 6天。 2 4例患者出现暂时性鼻咽返流。 1例患者出现严重的鼻咽狭窄。未发现任何开放性鼻音、吞咽困难和发音困难。结论 对于严格掌握适应证的轻度或中度OSAS患者 ,LAUP仍然不失为安全有效的治疗方法。

Objective To evaluate the safety of laser assisted uvulopalatopharyngoplasty (LAUP). Methods From April 1994 to November 1999, there were 243 patients with a diagnosis of OSAS underwent LAUP treatment, whose postoperative complications were reviewed. Results All patients had postoperative pain. The mean duration of the pain was 13.7 days. Twenty four patients appeared temporary regurgitation. Only one patient had a severe nasolpharyngeal stenosis. We did not notice any open rhinolalia, dysphagia and dysphonia. Conclusion LAUP is safe and effective for treatment of mild and moderate OSAS after careful medical options.