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目的探讨悬雍垂软腭成形术(UPPP)治疗阻塞性睡眠呼吸暂停综合征(OSAS)的疗效、适应症等。方法回顾性分析62例手术治疗OSAS患者的临床资料,本组62例均应用悬雍垂软腭成形术治疗。结果所有62例中,显效19例(30.6%),有效31例(50%),无效12例(19.4%),总有效率80.6%。术后有5例出现并发症,发病率8.1%,包括呼吸障碍、高血压危象、腭咽功能不全。结论睡眠呼吸暂停产生的机制复杂,应用UPPP术治疗时,严格掌握患者的手术适应证,选择相适应麻醉方法,才能保证治疗效果。
Objective To investigate the efficacy and indications of uvula soft palateoplasty (UPPP) in the treatment of obstructive sleep apnea syndrome (OSAS). Methods Retrospective analysis of 62 cases of surgical treatment of OSAS patients clinical data, the group of 62 cases were treated with uvula soft palate. Results Of all 62 cases, 19 (30.6%) were effective, 31 (50%) were effective, 12 (19.4%) were ineffective and the total effective rate was 80.6%. Postoperative complications occurred in 5 patients, the incidence of 8.1%, including respiratory disorders, hypertension crisis, velopharyngeal dysfunction. Conclusion The mechanism of sleep apnea is complicated. When UPPP is applied, the indications of operation should be strictly controlled and the anesthetic method should be chosen to ensure the therapeutic effect.