扁桃体大小对悬雍垂腭咽成形术疗效的影响

目的：研究扁桃体大小对阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者UPPP疗效的影响。方法：回顾性分析我科行UPPP手术的OSAHS患者54例，术后1年以上复查PSG确定疗效。结果：不同扁桃体大小组术前的各项指标（年龄、AHI、BMI、最低SpO2）；总体均数间差异无统计学意义（P〉0．05），但术后各扁桃体组间疗效差异有统计学意义；扁桃体Ⅲ度患者最低SpO2提高明显；在重度OSAHS中，不同疗效组间的扁桃体大小构成差异有统计学意义。结论：扁桃体较大患者手术有效率较高，其最低SpO2也有显著改善；对于重度OSAHS亦应根据个体差异采取不同的治疗措施。

The effect of the size of tonsil on Uvulopalatopharygoplasty

OBJECTIVE: To investigate how the size of tonsil affects the curative effect of patients with obstructive sleep apnea hypopnea syndrome (OSAHS) treated with Uvulopalatopharyngoplasty (UPPP). METHOD: Fifty-four cases with OSAHS treated with UPPP in our department were analyzed retrospectively. The polysomnography (PSG) was examined again one years or longer after operation. RESULT: There was no statistical difference between different tonsil size groups in age, apnea-hypopnea index (AHI), body mass index (BMI) and the lowest Pulse Oxygen Saturation (lowest SpO2) before operation. But there was a statistical difference in curative effect after operation between groups. The lowest SpO2 raised obviously in groups with bigger tonsils. In serious OSAHS group, there was a statistical difference in the composing of tonsil size grade in different curative effect groups. CONCLUSION: Patients with bigger size of tonsil will receive a better result after UPPP while the lowest SpO2 will be improved more prominent. To serious OSAHS, we should treat them individually.