腭咽成形术与悬雍垂腭咽成形术的疗效对比  

Comparison of the effect of uvulopalatopharyngoplasty(UPPP) and palatopharyngoplasty (PPP)

作　　者：林琳[1] 张玉庚[1] 孙沛勇[1] 王晓非[1] 岳振忠[1] 鲁宏华[1] 张文萍[1] 徐晓梅[1] 

机构地区：[1]天津市第一中心医院耳鼻咽喉科,300192

出　　处：《耳鼻咽喉（头颈外科）》2002年第6期339-341,共3页Chinese Arch Otolaryngology-Head Neck Surg

摘　　要：目的 :探讨悬雍垂腭咽成形术 (uvulopalatopharyngoplasty,UPPP)与腭咽成形术 (palatopharyngoplasty,PPP)治疗阻塞性睡眠呼吸暂停综合征 (obstructive sleep apnea syndrome,OSAS)的疗效比较及保留悬雍垂的意义。方法 :分别对 PPP(保留悬雍垂 12例 )及 UPPP(不保留悬雍垂 10例 )的患者于术前及术后 3～ 6个月进行多导睡眠 (PSG)监测 ,比较两组病人的疗效。结果 :两组术式的疗效无显著差异。结论 :PPP手术中保留悬雍垂不影响疗效 ,保留悬雍垂生理功能 。Objective: To compare the effect of uvulopalatopharyngoplasty (UPPP) and palatopharyngoplasty (PPP) in the treatment of obstructive sleep apnea syndrome(OSAS).Methods:Twenty\|two patients(21 males and 1 female,ranging in age from 30 to 60 years old) with OSAS were treated by surgery of UPPP or PPP from 1999 to 2001 in our department.Among 22 patients,10 were UPPP,12 were PPP.The parameters of AHI,AI,SaO 2 and PSG were determined before and after surgery (the period of follow\|up was 3~6 months).Result:There were no statistically discrepancy in the effect of these two methods of surgery.Conclusion:Keeping uvula in surgery doesn′t affect the effect and also reserve some functions.

关 键 词：睡眠无呼吸综合征 悬雍垂 外科手术 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]