超声刀在保留悬雍垂腭咽成形术中的应用  

Application of harmonic scalpel in han-uvalopalatopharyngoplasty

作　　者：冯旭[1] 黄志纯[1] 朱新[1] 陶峰[1] 蔡文君[1] 

机构地区：[1]东南大学附属中大医院耳鼻咽喉-头颈外科,南京210009

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第12期633-636,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨应用超声刀辅助行保留悬雍垂腭咽成形术(H-UPPP)治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的可行性。方法:对23例OSAHS患者左侧用传统方法行H-UPPP,右侧用超声刀辅助行H-UPPP,对术中出血量、手术时间、术后疼痛程度、术后伤口愈合情况、并发症的发生等几个方面做自身对照研究。结果:超声刀手术侧术中出血量与手术时间较传统手术侧明显减少,差异有统计学意义。超声刀手术侧与传统手术侧原发性出血和继发性出血发生率、术后切口肿胀情况、切口边缘白膜脱落时间、术后切口生长情况及术后疼痛差异均无统计学意义。结论:应用超声刀辅助行H-UPPP治疗OSAHS是有效、可行、安全的,值得在临床推广应用。Objective：To investigate the efficacy and feasibility of harmonic scalpel assisted Han-uvalopalatoparyngoplasty（H-UPPP） for obstructive sleep apnea and hyponea syndrome（OSAHS）.Method：For each case of 23 patients with OSAHS,the left was operated on with tradional method and the right was operated on with harmonic scalpel.Operative blood loss,the operation time,postoperative pain,the condition of wounds and complications were compared for each case itself.Result：The operative blood loss,the operation time,of the right with harmonic scalpel were much less than the left with tradional method,while no difference in postoperative pain,incidence of primary and secondary hemorrhage,the condition of wounds was found.Conclusion：The application of harmonic scalpel in H-UPPP was safe,efficient and feasible,and would have a nice application prospect during otolaryngology operations.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性 保留悬雍垂腭咽成形术 超声刀 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]