改良UPPP治疗阻塞性睡眠呼吸暂停低通气综合征临床疗效探讨

目的：改进经典的UPPP手术方法，探讨治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS），减少术后并发症的方法。方法：对49例OSAHS患者行改良UPPP；术后6、12、24个月随访，每次随访均行PSG测定。参照杭州会议（2002年）标准评定疗效。结果：患者打鼾、憋气、头痛及嗜睡等症状均于6个月内明显减轻或消失，经PSG监测，总有效率为100％。术后12、24个月经PSG监测，其疗效分别为95．92％和91．84％。结论：此术式可有效地扩大腭咽腔的通气面积，保持软腭的紧张度及咽黏膜的正常功能；术后并发症少，治疗效果良好。

Clinical therapeutic effect of obstructive sleep apnea hypopnea syndrome treated by uvulopalatopharyngoplasty

Objective:To investigate the therapeutic effect of obstructive sleep apnea hypopnea syndrome(OSAHS)by modified uvulopaoatopharyngoplasty(UPPP).Method:Forty-nine cases of OSAHS were treated by modified UPPP,and followed-up on 6 months,1 year and 2 years after operation and carried out polysomnography(PSG) every time.Result:Therapeutic effect was evaluated by standard of Hangzhou(2002).In 6 months,symptoms of snore,breath holding,headache and lethargy disappeared or reduced obviously,the total effective rate was 100%.In 12 and 24 months,the effective rate was 95.92 % and 91.84 % respectively.Conclusion:This operation can enlarge venting area of palatopharyngeal cavity effectively and keep tensity of soft palate as well as the normal function of pharyngeal mucous membrance,and can also elavate operative effect and decrease postoperative complications.