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目的探讨H-UPPP联合舌根部分切除治疗阻塞性睡眠呼吸暂停低通气综合征的疗效。方法回顾性分析接受H-UPPP联合舌根部分切除术的无小颌畸形的口咽平面及舌咽区均狭窄的78例阻塞性睡眠呼吸暂停低通气综合征患者的临床资料,包括体检,Epworth嗜睡评分,PSG,治疗结果,并发症及随访结果。结果术后随访6个月以上,有效18例(18/78,23.1%),显效44例(44/78,56.4%),治愈16例(16/78,20.5%),总有效率100%。78例均顺利接受治疗,围手术期未发生大出血及心脑血管意外,术后无进食反流及闭塞性鼻音等。结论 H-UPPP联合舌根部分切除治疗无小颌畸形的以口咽及舌咽狭窄为主的各种程度的阻塞性睡眠呼吸暂停低通气综合征疗效显著,Ⅰ期完成手术,安全有效、并发症少、经济花费少。
Objective To investigate the curative effect of H-UPPP combined with partial resection of tongue root in obstructive sleep apnea-hypopnea syndrome. Methods The clinical data of 78 patients with obstructive sleep apnea-hypopnea syndrome who underwent H-UPPP combined with partial root ganglionectomy without sogo-mandibular deformity in the oropharyngeal plane and glossopharyngeal region were retrospectively analyzed. They included physical examination, Epworth sleepiness Score, PSG, treatment outcome, complications and follow-up results. Results 18 cases (18/78, 23.1%) were effective, 44 cases (44/78, 56.4%) were cured and 16 cases (16/78, 20.5%) were cured. The total effective rate was 100% . 78 cases were successfully treated, perioperative no major bleeding and cardiovascular accidents, no postoperative reflux and nasal obstruction and so on. Conclusion H-UPPP combined with partial resection of the tongue root in the treatment of microglial deformity with oropharyngeal and glossopharyngeal stenosis of varying degrees of obstructive sleep apnea-hypopnea syndrome has a significant effect, the first phase of surgery, safe and effective, complications Fewer, less economical.