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目的:探讨腭帆成形术(VPP)的手术适应证,近期疗效及其影响因素。方法:对30例经PSG确诊阻塞性睡眠呼吸暂停低通气综合征患者实行VPP,随诊6～11个月,并进行术中腭咽结构解剖标志的测量。结果:AHI由术前54.6±18.3降至术后25.3±9.5,ESS评分由术前的16.5±4.8降至术后的5.2±4.1,近期有效率为70.0%。结论:VPP通过软腭重塑、瘢痕收缩和扁桃体切除,可达到明显提升腭帆、扩大口咽气道的目的。
Objective: To investigate the surgical indications, short-term curative effect and influencing factors of palaplana-angioplasty (VPP). Methods: Thirty patients with obstructive sleep apnea-hypopnea syndrome diagnosed by PSG were treated with VPP. The patients were followed up for 6-11 months. The anatomical landmarks of velopharyngeal structures were measured. Results: The AHI decreased from 54.6 ± 18.3 preoperatively to 25.3 ± 9.5 postoperatively. The ESS score decreased from 16.5 ± 4.8 preoperatively to 5.2 ± 4.1 postoperatively. The effective rate was 70.0%. Conclusions: VPP can improve the palatal sag and enlarge the oropharyngeal airways through soft palate remodeling, scar shrinkage and tonsillectomy.