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目的 探讨悬雍垂保留在悬雍垂腭咽成形术 (UPPP)中的作用。方法 比较 4 3例UPPP与 4 3例保留悬雍垂的改良UPPP的术中术后并发症、术后症状改善程度以及术后咽腔测量结果。结果 术中术后大出血、开放性鼻音、进流食返呛入鼻腔等并发症 :改良UPPP明显低于UPPP(P <0 .0 5 ) ;咽异物感 :改良UPPP极明显低于UPPP (P <0 .0 1)。术后 1年患者主观症状改善程度 :明显改善者 ,改良UPPP高于UPPP ,无改善者 ,UPPP高于改良UPPP ,有显著性差异 (P <0 .0 5 )。术后 1年咽腔扩大程度 :下腭咽横径、前后径 ,改良UPPP较UPPP两者均明显扩大 (P <0 .0 5 )。结论 UPPP中保留悬雍垂可明显降低术中术后大出血、开放性鼻音、进流食返呛入鼻腔、咽异物感等并发症 ,术后症状明显改善 ,咽腔得到明显扩大
Objective To investigate the role of uvula in preservation of uvulopalatopharyngoplasty (UPPP). Methods The postoperative complications, the degree of postoperative improvement and postoperative pharyngeal measurement were compared between 43 cases of UPPP and 43 cases of preserved uvula modified UPPP. Results The intraoperative and postoperative bleeding, open nasal, inflow of food back into the nasal cavity and other complications: improved UPPP was significantly lower than the UPPP (P <0.05); pharyngeal foreign body sensation: modified UPPP was significantly lower than the UPPP (P < 0 .0 1). One year after operation, the improvement of subjective symptoms was significantly improved in those who improved UPPP higher than UPPP without improvement, UPPP higher than improved UPPP, there was a significant difference (P <0.05). Pharyngeal enlargement 1 year after surgery: velopharyngeal pharyngeal diameter, anteroposterior diameter, improved UPPP were significantly higher than those of UPPP (P <0. 05). Conclusions Uvula retention in UPPP can significantly reduce postoperative intraoperative hemorrhage, open nasal, inflow of food back into the nasal cavity, pharyngeal foreign body sensation and other complications, postoperative symptoms were significantly improved, the pharynx was significantly expanded