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对128例阻塞性睡眠呼吸暂停综合征患者进行了手术治疗,男110例,女18例,除2例行咽侧巨大肿瘤切除外,均选用改良腭咽成形术。其做法是:①用软腭折叠法缩短软腭,扩大咽部上下径和前后径,效果可靠,且不切除软腭肌肉,可减少或预防软腭切除引起的并发症;②强调必须将咽腭肌和舌腭肌缝合在一起,再缝合咽腭弓和舌腭弓,以利用肌肉的牵拉作用有效地扩大咽腔左右径,并可闭合扁桃体窝使之不留腔隙,有预防伤口出血的作用;③用自制的长柄缝合器(已获国家专利)进行缝合,操作简便、安全,缝合准确,可缩短手术时间;④术后鼻饲一周,可保证病人营养供给,减少术后伤口运动,有利伤口愈合。
128 patients with obstructive sleep apnea syndrome were treated with surgery, 110 males and 18 females, except 2 pharyngeal huge tumor resection, the selection of modified velopharyngeal angioplasty. Its approach is: ① with the soft palate fold shortening the soft palate, expanding the upper and lower throat diameter and anteroposterior diameter, the effect is reliable, and does not remove the soft palate muscles, can reduce or prevent complications caused by soft palate resection; ② emphasizes the pharyngeal palate and tongue Palate muscle suture together, and then suture the pharyngeal palatal arch and tongue palatal arch, in order to use the muscle pull effectively expand the left and right pharyngeal diameter, and can close the tonsil nest so that no lacunar, have the effect of preventing wound bleeding; ③ with homemade long handle stitches (has been the national patent) for suture, easy to operate, safe, accurate suture can shorten the operation time; ④ postoperative nasal feeding for one week to ensure that patients supply of nutrients to reduce postoperative wound movement, favorable wounds heal.