超声刀在改良悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征中的应用

Application of Ultracision Harmonic Scalpel in Modified Uvalopalatopharyngoplasty Surgery to the Treatment of Obstructive Sleep Apnea Syndrome

目的探讨超声刀在改良悬雍垂腭咽成形术(H-UPPP)治疗阻塞性睡眠呼吸暂停综合征(OSAHS)中的应用效果,并与传统手术比较分析各自的优缺点。方法将需行H-UPPP的OSAHS患者分成超声刀组(A组)和传统组(B组),超声刀组34例,传统组28例。在全麻插管下,A组应用超声刀行改良悬雍垂腭咽成形术,B组行传统改良悬雍垂腭咽成形术。比较两组术中出血量、手术时间、白膜脱落时间、术后疼痛程度、术后PSG检查各指标。结果与B组比较,A组的术中出血量明显减少,手术时间明显缩短,术后疼痛较轻;两组患者术后PSG检查显示,手术效果比较差异无统计学意义。结论应用超声刀行改良悬雍垂腭咽成形术可减少术中出血、缩短手术时间,优于传统术式。

Objective To explore and discuss the application effect of ultrasonic harmonic scalpel in modified uvulopalatopharyngoplasty surgery(H-UPPP)on the treatment of obstructive sleep apnea syndrome(OSAHS),and to analyze the advantages and disadvantages of this method and the conventional one.Methods Sixty-four patients were assigned into two groups with 34 cases in the ultrasound group(Group A)and 28 cases in the conventional group(Group B).After being generally anaesthetized via intubation,Group A received modified H-UPPP with ultrasonic harmonic scalpel,while Group B underwent conventional H-UPPP.The amount of bleeding,operation time,peeling off time of the tunica albuginea,postoperative pain,and all indexes in postoperative PSG examination were compared between the two groups.Results The amount of bleeding in Group A was significantly less than that in Group B.The operation time was significantly shorter,and the postoperative pain was milder.However,according to the postoperative PSG examination,the difference in surgery effect between the two groups was not statistically significant.Conclusion Application of ultrasonic harmonic scalpel in modified uvula pharyngeal surgery can decrease the amount of bleeding and operation time,and is superior to the conventional one.