改良UPPP手术治疗小儿OSAHS的疗效观察

Modified UPPP operation for treatment of pediatric obstructive sleep apnea hypopnea syndrome

目的观察改良腭咽成型术治疗小儿睡眠呼吸暂停低通气综合征的临床疗效。方法 180例小儿睡眠呼吸暂停综合征患者随机分为治疗组(n=90)和对照组(n=90),均行常规扁桃体切除术后,治疗组加行改良腭咽成形术,对照组则否。比较两组术后疗效及并发症情况。结果治疗组显效28例,有效60例,总有效率97.8%;对照组显效21例,有效56例,总有效率85.6%。治疗组无1例并发出血,对照组并发出血4例(4.44%),组间差异有统计学意义(P<0.05)。结论改良腭咽成型术有利于扩大咽腔,避免术后原发性出血。

Objective To discuss the clinical effect of improved pediatric uvulopalatopharyngoplasty （UPPP） for treatment of pediatric sleep apnea syndrome. Method 180 cases of pediatric sleep apnea syndrome patients were randomly divided into treatment group and control group both with 90 cases. Both groups were given routine tonsillectomy, after that treatment group was given improved UPPP while control group was given hemostasis by compression or by bipolar coagulation procedure. Clinical effect and complications of both groups were observed. Results In treatment group, 28 cases were significantly effective, 60 cases were effective, and the total effective rate was 97.8%; in control group, 21 cases were significantly effective, 56 cases were effective, and the total effective rate was 85.6%. No case of bleeding occurred in treatment group while 4 occurred in control group （4.44%）. The difference between the two groups was statistically significant （P〈0.05）. Conclusions Improved UPPP has an exact effect and few complications, avoid postoperative primary hemorrhage, complications.