| 改良悬雍垂腭咽成形术疗效的临床观察 |
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| 引用本文： | 杨怀安,王琰,杨宁,李笑天,马杰.改良悬雍垂腭咽成形术疗效的临床观察[J].山东医大基础医学院学报,2006(3). |
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| 作者姓名： | 杨怀安 王琰 杨宁 李笑天 马杰 |
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| 作者单位： | 中国医科大学第一临床学院耳鼻咽喉科 辽宁沈阳110001(杨怀安，王琰，杨宁，李笑天)，辽阳市第三人民医院耳鼻咽喉科 辽宁辽阳111000(马杰) |
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| 摘 要： | 目的:改进经典悬雍垂腭咽成形术(UPPP)的手术方法,探讨保留悬雍垂的可行性和必要性。方法:全身麻醉下行保留悬雍垂的腭咽成形术,术中完整保留悬雍垂,切除腭帆间隙脂肪,提高软腭最高切点均在2.5 cm以上。结果:完整保留的悬雍垂术后2周开始回缩,3个月后咽腔接近年轻状态,无腭咽关闭不全及再狭窄。主观问卷调查和PSG客观检测有效率为100%。结论:保留悬雍垂可提高软腭最高切点开大咽腔,扩大软腭鼻咽面和咽后壁间距并防止腭咽关闭不全,可明显提高UPPP手术疗效。
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| 关 键 词： | 睡眠呼吸暂停综合征 悬雍垂腭咽成形术 并发症 |
Effect of modified uvulopalatopharyngoplasty |
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| YANG Huai-an,WANG Yan,YANG Ning,LI Xiao-tian,MA Jie.Effect of modified uvulopalatopharyngoplasty[J].Journal of Preclinical Medicine College of Shandong Medical University,2006(3). |
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| Authors: | YANG Huai-an WANG Yan YANG Ning LI Xiao-tian MA Jie |
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| Institution: | YANG Huai-an~1,WANG Yan~1,YANG Ning~1,LI Xiao-tian~1,MA Jie~2 |
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| Abstract: | Objective: To explore the effect of the modified uvulopalatopharyngoplasty(UPPP) preserving the uvula.Methods: Twenty-eight patients with obstructive sleep apnea syndrome(OSAS)who had been confirmed by PSG in our hospital from 2003 to 2005 were involved in this study.The modified UPPP preserving the uvula completely was taken under general anaesthesia.Results: The preserved uvula contracted 2 weeks after the UPPP.The pharyngeal cavity behaved young 3 months after operation.No vulopalatal insufficiency occurred.The response rate was 100% based on the questionnaire investigation and PSG detection.Conclusion: The modified UPPP is more effective for OSAS than the normal UPPP by increasing the nasopharyngeal and oropharyngeal cavity and avoiding vulopalatal insufficiency. |
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| Keywords: | Sleep apnea syndromes Uvulopalatopharyngoplasty Complications |
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