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目的:探讨保留悬雍垂腭咽成形术(H-UPPP)治疗阻塞性睡眠暂停低通气综合征(OSAHS)的效果。方法:应用H-UPPP治疗OSAHS患者39例,其中男33例,女6例。根据术前和术后6个月多导睡眠监测(PSG)结果,评估手术疗效。结果:39例OSAHS患者术前行PSG监测结果示:轻度6例,中度24例,重度9例。术后6个月复查PSG结果示:治愈5例,显效11例,有效13例,无效10例,总有效率为74.36%。32例患者术后打鼾、嗜睡等症状明显改善,7例患者症状轻度改善。结论:应用H-UPPP手术治疗OSAHS,手术简便安全,治愈率高,并发症少,该术式值得临床推广应用。
Objective: To investigate the effect of preserving uvulopalatopharyngoplasty (H-UPPP) on obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: 39 cases of OSAHS patients were treated with H-UPPP, including 33 males and 6 females. Surgical efficacy was assessed according to preoperative and postoperative polysomnography (PSG) results at 6 months. Results: The results of preoperative PSG monitoring in 39 patients with OSAHS showed that there were 6 mild cases, 24 moderate cases and 9 severe cases. Six months after the review of PSG results show: cured in 5 cases, markedly effective in 11 cases, effective in 13 cases, ineffective in 10 cases, the total effective rate was 74.36%. 32 patients postoperative snoring, lethargy and other symptoms improved significantly, 7 patients mild improvement in symptoms. Conclusion: H-UPPP surgical treatment of OSAHS, simple and safe operation, high cure rate, fewer complications, the operation worthy of clinical application.