| 改良腭咽成形术治疗阻塞性睡眠呼吸暂停综合征41例 |
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| 引用本文： | 万俐佳,鲁海涛,姜义道,刘辉,李琴,佘腊枝.改良腭咽成形术治疗阻塞性睡眠呼吸暂停综合征41例[J].山东大学耳鼻喉眼学报,2008,22(3):204-205. |
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| 作者姓名： | 万俐佳 鲁海涛 姜义道 刘辉 李琴 佘腊枝 |
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| 作者单位： | 荆州市中心医院 华中科技大学同济医学院附属荆州医院耳鼻咽喉头颈外科， 湖北 荆州 434020 |
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| 摘 要： | 目的分析改良腭咽成形术（H-UPPP）治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效，探讨围手术期治疗方法。方法对41例患者行H-UPPP术治疗，摘除双侧扁桃体，切除腭帆间隙多余脂肪组织，完整保留悬雍垂，部分重度患者术前行持续正压通气治疗及对症治疗。结果患者术后自觉症状均有明显改善或消失，无误呛及进食返流等症状，术后6个月经多导睡眠呼吸监测（PSG），总有效率82.9%。结论H-UPPP通过保留悬雍垂，维持咽腔基本结构，有效防止腭咽关闭不全，提高手术疗效和安全性。
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| 关 键 词： | 睡眠呼吸暂停 阻塞性 改良腭咽成形术 围手术期治疗 |
| 收稿时间： | 2008-02-01 |
| 修稿时间： | 2008-05-21 |
Effect of H-uvulopalatopharyngoplasty on obstructive sleep apneahypopnea syndrome |
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| WAN Li-jia,LU Hai-tao,JIANG Yi-dao,LIU Hui,LI Qin,SHE La-zhi.Effect of H-uvulopalatopharyngoplasty on obstructive sleep apneahypopnea syndrome[J].Journal of Otolaryngology and Ophthalmology of Shandong University,2008,22(3):204-205. |
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| Authors: | WAN Li-jia LU Hai-tao JIANG Yi-dao LIU Hui LI Qin SHE La-zhi |
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| Institution: | Department of Otorhinolaryngology & Head and Neck Surgery, Affilitated Jinzhou Central Hospital,
Tongji Medical College of Huazhong University of Science & Technology, Jingzhou 434020, Hubei, China |
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| Abstract: | To investigate the curative effect of peri-operative treatment and H-uvulopalatopharyngoplasty(H-UPPP) on obstructive sleep apnea hypopnea syndrome. Methods41 patients were treated by continuous positive airway pressure for 1 week. Then tonsillectomy and H-UPPP were performed. ResultPSG showed the total response rate was 82.9% on the 6th month post-operatively. All signs were improved or disappeared. ConclusionH-UPPP can effectively improve the symptoms of OSAHS and keeps the physical function of uvula and the basic construction of pharynx and prevents velopharyngeal insufficiency. |
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| Keywords: | Obstructive sleep apnea hyponea syndrome H-uvulopalatopharyngoplasty Perioperative treatment |
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