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目的:探讨硬腭截短软腭前移-悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征(Obstructive sleep apnea syndrome,OSAS)的疗效。方法:对16例OSAS患者准确定位上气道阻塞平面,行硬腭截短软腭前移-悬雍垂腭咽成形术,对比手术前后《欧洲率中量表》(ESS)评分、多导睡眠监测(PSG)、Muller试验、头影侧位片检查。结果:手术前后ESS评分、睡眠呼吸紊乱指数(AHI)及最低SaO2差异均有统计学意义(P<0.05),头影测量显示上气道间隙较术前扩大,Muller氏实验中吸气时咽壁塌陷程度减轻。结论:硬腭截短软腭前移术可有效扩大骨性鼻咽腔及腭咽前后位狭窄,联合悬雍垂腭咽成形术不仅提高了手术有效率,治愈率也明显提高。
Objective: To investigate the curative effect of hard palate truncated soft palate anterior-uvulopalatopharyngoplasty in the treatment of obstructive sleep apnea syndrome (OSAS). Methods: Sixteen patients with OSAS were accurately located on the upper airway obstruction plane. The palatal soft palate anterior uvulopalatopharyngoplasty was performed. The ESR score, preoperative and postoperative polysomnography (PSG), Muller test, cephalometric examination. Results: There were significant differences in ESS score, sleep apnea index (AHI) and minimum SaO2 before and after operation (P <0.05). Cephalometric measurements showed that the upper airway gap was enlarged compared with that before operation. In the Muller test, Wall collapse reduced. Conclusion: The palatal soft palate anterior approach can effectively enlarge the anterior and posterior stenosis of the bony nasopharyngeal and palatopharyngeal pharynx. Uvulopalatopharyngoplasty not only improves the operative efficiency but also significantly improves the cure rate.