电刀凝切法在悬雍垂腭咽成形术中的应用价值探讨

Application value of the electrocautery in uvalopalatopharyngoplasty

目的探讨应用电刀凝切法进行悬雍垂腭咽成形术(UPPP)治疗阻塞性睡眠呼吸暂停通气综合征(OSAHS)的效果及应用价值。方法将需行UPPP手术的28例OSAHS患者分成凝切组(A组)及对照组(B组)各14例,全身麻醉下分别应用电刀凝切法和传统手术方法行UPPP。对比两组患者的术中出血量、手术时间、术后创面白膜开始脱落时间、术后疼痛评分、术后疗效以及术后并发症的情况。结果 A组患者术中出血量明显少于B组(P<0.05),手术时间也较B组缩短(P<0.05),两组患者术后伤口疼痛情况、术后创面白膜开始脱落时间及手术疗效均差异无统计学意义(P>0.05)。术后两组患者均无严重并发症出现。结论应用电刀凝切法辅助UPPP治疗OSAHS患者能明显减少术后出血量、缩短手术时间,在临床治疗中值得推广运用。

Objective To evaluate the effects of electrocautery assisted uvalopalatopharyngoplasty（UPPP）for obstructive sleep apnea and hyponea syndrome（OSAHS）.Methods Patients with OSAHS were randomly divided into two groups,with 14 cases in each group.Group A was operated on with electrocautery,while group B was operated on with the traditional method.The operative blood loss,the operation time,the tunica albuginea off time,post operative pain,surgical outcomes and complications were compared between two groups.Results The operative blood loss and the operation time of group A were much less than in group B（all P〈0.05）,while no difference in the tunica albuginea off time,post operative pain and surgical outcomes was found（P〉0.05）.Two groups of patients both had no serious complications.Conclusion The advantages of electrocautery assisted UPPP consists of less operative blood loss and less operation time.It deserves to generalize and apply in the future clinical treatments.