H-UPPP在治疗阻塞性睡眠暂停低通气综合征中的应用  

H-uvulopalatopharyngoplasty in the treatment of obstructive sleep apnea hypopnea syndrome

作　　者：蔡雪倩 方平[1] 高潮兵[1] 

机构地区：[1]安徽医科大学第一附属医院耳鼻咽喉头颈外科,安徽合肥230022

出　　处：《安徽医药》2015年第6期1107-1110,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的：分析保留悬雍垂腭咽成形术（H-UPPP）在治疗阻塞性睡眠暂停低通气综合征（OSAHS）中的临床疗效。方法用保留悬雍垂腭咽成形术（H-UPPP）治疗患者30例，术后随访1个月～1年，术后6个月给予多导睡眠监测（PSG），分析其疗效程度。结果术后6个月行手术疗效评定：治愈5例，显效15例，有效8例，无效2例。术后6个月有效率为93．3％，术后1年有效率为91．3％。术后6个月PSG监测显示呼吸暂停低通气指数（AHI）、最低血氧饱和度（LSaO2）及临床症状均较术前明显改善。结论根据腭、舌部解剖结构应用H-UPPP治疗中、重度OSAHS患者取得了较好的疗效，术后咽腔接近正常解剖形态，并且术后并发症少，患者易接受，具有临床推广应用价值。Objective To explore the efficacy of H-uvulopalatopharyngoplasty （H-UPPP）in the treatment of obstructive sleep apnea hypopnea syndrome （OSAHS）.Methods Thirty cases were treated with H-uvulopalatopharyngoplasty and followed up for 1 month to 1 years.Polysomnography（PSG）was given 6 months after operation to analyze the efficacy.Results The six-month postoperative cura-tive effect was as follows：5 cases were cured,15 cases markedly effective,8 cases effective,and 2 cases invalid.The 6-month and 1-year postoperative efficiency rates were 93.3%and 91.3%,respectively.Six-month postoperative PSG monitoring showed that apnea hypop-nea index （AHI）,the lowest oxygen saturation （LSaO2 ）and the clinical symptoms were improved obviously after operation.Conclu-sions The application of H-UPPP based on the palate,tongue anatomical structure in the treatment of patients with severe OSAHS has achieved a good curative effect.Postoperative pharyngeal cavity is close to the normal anatomic form,and there are less postoperative complications and can be easily accepted by patients,which is worthy of clinical promotion.

关 键 词：保留悬雍垂腭咽成形术 阻塞性睡眠暂停低通气综合征 多导睡眠监测 

分 类 号：R766[医药卫生—耳鼻咽喉科]