不同阻塞部位的重度OSAHS患者UPPP疗效观察

The curative effect of UPPP in different collapse sites of severe OSAHS patients

目的 :比较改良悬雍垂腭咽成形术 (UPPP)治疗不同阻塞部位的重度阻塞性睡眠呼吸暂停低通气综合征 (OSAHS)的疗效。方法 :随机将重度OSAHS患者 35例分为两组 ,通过M櫣ｌｌｅｒ检查及ＭＲＩ扫描确定腭咽、口咽及下咽阻塞部位。采用改良UPPP为主的综合治疗 ,全部病例术后随访 6个月。结果 :两组 35例中无下咽阻塞 2 8例 ,术后随访总有效率 85 .7% (2 4 2 8) ,合并下咽阻塞 7例 ,总有效率 2 8.6 % (2 7) ,差异有高度显著性 (P <0 .0 1)。 结论 :选择重度OSAHS患者 ,确定咽腔阻塞部位是预测UPPP疗效的关键。

Objective:To investigate the curative effect of the improved uvulopalatopharyngoplasty (UPPP) in different obstructive site of severe obstructive sleep apnea hypopnea syndromes (OSAHS). Methods:Thirty-five patients were randomly divided into two groups.The collapse sites had been confirmed by müller maneuver and MRI. The improved UPPP had been performed on all subjects, and followed up for six months after operation.Result: The total effective rate in twenty-eight patients without hypopharynx collapse was 85.7%(24/28 ),in seven patients with hypopharynx collapse in unselected group was 28.6%(2/7), and both had obvious difference.Conclusion: It is very important to predict the curative effect of improved UPPP in severe OSAHS patients by conforming pharyngeal collapse.