改良UPPP与传统UPPP治疗阻塞性睡眠呼吸暂停低通气综合征的疗效比较

目的：比较保留软腭和部分悬雍垂的改良UPPP与传统UPPP治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的疗效。方法：选择OSAHS患者85例，分别采取改良UPPP（44例）与传统UPPP（41例），全部病例术后随访6个月和1年，比较其疗效。结果：术后6个月，改良UPPP总有效率56．82％（25／44），传统UPPP总有效率58．54％（24／41），但差异无统计学意义（P〉0．05）。鼻咽返流等并发症发生率改良UPPP为36．36％（16／44），传统UPPP68．29％（28／41），差异有统计学意义（P〈0．05）。术后1年，改良UPPP总有效率47．73％（21／44），传统UPPP组总有效率46．34％（19／41），但差异无统计学意义（P〉0．05）。鼻咽返流等并发症发生率前者为27．27％（12／44），后者73．17％（30／41），差异有统计学意义（P〈0．05）。结论：对口咽部阻塞为主的OSAHS患者采用改良的UPPP能取得和传统的UPPP治疗相同的疗效，能相对减少各种并发症的发生。

Contrast the curative effect of the improved UPPP and traditional UPPP in treating OSAHS

Objective:To compare the curative effect of the reserving soft palate and part uvula UPPP and traditional UPPP in OSAHS Patients.Method:Eighty-five OSAHS patients were selected and were performed two groups :improved UPPP(44 cases) and traditional UPPP(41 cases). The follow-up was carried out in 6 months and 1 year after operation, and the curative effects were compared.Result:The improved UPPP had been performed on forty-four patients and the traditional UPPP on forty-one patients. The total effective rate in improved UPPP group was 56.82%(25/44),in UPPP group was 58.54%(24/41)6 months later, there was no statistically significant difference between them(P>0.05).The total rate of the postoperative complication in improved group was 36.36%(16/44),in traditional UPPP group was 68.29%(28/41) 6 months later, there was a statistically significant difference between them(P<0.05). The total effective rate in improved UPPP group was 47.73% (21/44),in traditional UPPP group was 46.34%(19/41)1 year later, there was no significant difference between them(P>0.05). The total rate of the postoperative complication in improved UPPP group was 27.27%(12/44),in traditional UPPP group was 73.17%(30/41)1 year later, there was a statistically significant difference between them(P<0.05).Conclusion:It may get identical curative effect to use improved UPPP and traditional UPPP for those oropharynx obstruction OSAHS patients .But improved UPPP may efficiently reduce the rate of the postoperative complication.