三种手术方式在改良悬雍垂腭咽成形术中的疗效对比

目的 探讨应用超声刀、低温等离子刀以及传统方法进行改良悬雍垂腭咽成形术(H-UPPP)治疗阻塞性睡眠呼吸暂停综合征(OSAHS)的不同效果,并加以分析。方法 将需行H-UPPP的OSAHS患者分成超声刀组(A组)、低温等离子刀组(B组) 及传统组(C组),各42例。在静吸复合麻醉插管下,A组应用超声刀,B组应用改良低温等离子刀,C组应用传统方法,行改良悬雍垂腭咽成形术。对比三组患者的术中出血量、手术时间、术后疼痛程度、术后效果以及并发症的情况。结果 A、B组术中出血量明显少于C组,手术时间缩短明显,术后疼痛较轻,术后并发症及手术效果差异无统计学意义。结论 超声刀、低温等离子刀辅助下悬雍垂腭咽成形术术中出血少、手术时间缩短、术后反应小,其中低温等离子刀术后反应更小。

Three different operative methods in H-UPPP

Objective To compare the effects of harmonic scalpel, low-temperature plasma scalpel or traditional scalpel in Han-uvalopalatopharyngoplasty(H-UPPP) to treat obstructive sleep apnea and hyponca syndrome(OSAHS). Methods According to the methods in the operation of H-UPPP, OSAHS patients were divided into three groups: group A (harmonic scalpel), group B (low-temperature plasma scalpel) and group C (traditional scalpel). Each group had 42 cases. Intra-operative blood loss, operation time, degrees of postoperative pain, effective rate and complications after surgery were compared among the three groups. Results Intra-operative blood loss and surgery time of group A and B were much less and shorter than those of group C. However, the differences of effective rates and complications after surgery among three groups were not identified. Conclusion For H-UPPP, harmonic scalpel or low-temperature plasma scalpel can help reduce the blood loss and shorten surgery time. Among them,,low-temperature plasma scalpel demonstrates much less postoperative reaction.