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改良腭咽成形术与悬雍垂腭咽成形术并发症的对照分析
引用本文:杨德生,尹俊生,梁文斌,温化冰,郝建明. 改良腭咽成形术与悬雍垂腭咽成形术并发症的对照分析[J]. 山西医科大学学报, 2004, 35(2): 170-172
作者姓名:杨德生  尹俊生  梁文斌  温化冰  郝建明
作者单位:阳煤集团总医院耳鼻咽喉科,阳泉,045000
摘    要:
目的 比较改良腭咽成形术 (保留悬雍垂全长的UPPP手术 )与经典悬雍垂腭咽成形术 (UPPP)两种手术并发症的发生情况。方法 回顾分析 ,以改良腭咽成形术 (保留悬雍垂全长的UPPP手术 )的并发症与经典悬雍垂腭咽成形术 (UPPP)的并发症作比较。结果 改良腭咽成形术组术后鼻咽返流 1例 ,悬雍垂腭咽成形术 (UPPP)组 13例中术后鼻咽返流 6例 ,大出血 5例 ,气管切开 3例 ,术后半年鼻咽狭窄 3例。结论 改良腭咽成形术 ,完整保留悬雍垂以及咽腔解剖结构 ,手术效果良好 ,并发症少 ,便于推广应用

关 键 词:睡眠呼吸暂停综合征  腭咽成形术  悬雍垂腭咽成形术
文章编号:1007-6611(2004)02-0170-03
修稿时间:2003-11-06

Comparative analysis of the postoperative complications in Uvula preserving uvulopalatopharyrgoplsty(UPPP) and UPPP
YANG De-sheng,YIN Jun-sheng,LIANG Wen-bin,et al. Comparative analysis of the postoperative complications in Uvula preserving uvulopalatopharyrgoplsty(UPPP) and UPPP[J]. Journal of Shanxi Medical University, 2004, 35(2): 170-172
Authors:YANG De-sheng  YIN Jun-sheng  LIANG Wen-bin  et al
Abstract:
Objective To contrast the postoperative complications between UPPP and Uvula preserving UPPP. Method Postoperativecomplications of UPPP and Uvula preserving UPPP were analysed. Results In10 cases of uvula preserving UPPP 1 case had elopalatal insufficiency. In 13 cases of modified UPPP 6 cases had velopalatal insufficiency,and 5 cases had hypovolemic shock, and 3 cases nasopharygeal stricture. Conclusion The results of the uvula preserving UPPP indicate that this approach not only improve the effect of the UPPP, but also avoid the postoperative complications. The uvula-preserving UPPP could preserve completely uvula and the oropharynx anatomy structure
Keywords:sleep apnea syndrome  palatopharyngoplasty  uvulopalatopharyngoplasty
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