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采用悬雍垂腭咽成形术(UPPP)治疗鼾症31例。所有病例于手术前后作声级计测定、呼吸暂停频度测定,部分病例作全自动多导监护仪检测。UPPP 的疗效以多项指标判断,其中鼾声响度,以往文献为定性判断,笔者首次提出定量判断标准。治疗结果:鼾声响度改善,显效11例,进步14例,总有效率81%;阻塞性呼吸暂停综合征(OSAS)者呼吸暂停改善显效9例,进步15例,总有效率77%。文中还对鼾症的发生机理,产生的病理生理改变作出分析,对有关影响疗效的因素,预防术中、术后严重并发症进行探讨。
Thirty-one cases of snoring were treated with uvulopalatopharyngoplasty (UPPP). All cases were measured before and after the sound level meter, apnea frequency determination, in some cases for automatic multi-monitor detection. The efficacy of UPPP to judge a number of indicators, including snoring loudness, the past literature for qualitative judgment, the author for the first time put forward quantitative criteria. Results: The snore loudness improved, markedly improved in 11 cases, improved in 14 cases, the total effective rate was 81%; Obstructive apnea syndrome (OSAS) apnea improved markedly in 9 cases, 15 cases improved, the total effective rate was 77%. The article also snoring pathogenesis, resulting in the analysis of pathophysiological changes, the factors that affect the efficacy of prevention of intraoperative and postoperative serious complications to explore.