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目的 :探讨腭咽成形术 (palatopharyngoplasty,PPP)术后复发的再手术治疗。方法 :报告 5例术后复发者的临床资料。结果 :术后复发时咽腔前后径 (4.0 6± 2 .94) mm、左右径 (11.40± 4.16 ) m m,较术前明显狭小 ,经鼻咽通道扩大成形术后 ,前后径 (11.90± 3.2 5 ) mm、左右径 (2 1.0 0± 4.18) mm,较治疗前显著增大 (P <0 .0 1)。2例治愈 ,3例显效 ,无并发症 ,随访未见再复发。结论 :术后复发主要与术中操作不当有关 ,对此采取多科合作 ,选择合适的再处理方式 ,同样可取得较好效果。
Objective: To investigate the surgical treatment of postoperative recurrence of palatopharyngoplasty (PPP). Methods: Five cases of postoperative recurrence were reported. Results: The anteroposterior diameter (4.06 ± 2.94) mm and the diameter of the left and right (11.40 ± 4.16) mm were significantly smaller than those before the operation. After the nasopharyngeal channel was expanded, the anteroposterior diameter (11.90 ± 3.2 5 mm, and left and right diameter (2 1.0 0 ± 4.18) mm, which were significantly higher than those before treatment (P <0.01). 2 cases were cured, 3 cases markedly effective, no complications, no recurrence of follow-up. Conclusion: The recurrence is mainly related to the improper operation in the operation. To take this multidisciplinary cooperation and select the appropriate reprocessing method, the same effect can be obtained.