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目的探讨保留悬雍垂腭咽成形术对阻塞性睡眠呼吸暂停低通气综合征治疗效果。方法选择120例阻塞性睡眠呼吸低通气综合征患者进行保留悬雍垂腭咽成形术,并在术前、术后作多导睡眠监测。结果全部病例术后随访3个月,118例白天嗜睡和睡眠呼吸暂停消失,2例状态无改善;多导睡眠监测,以睡眠呼吸暂停低通气指数下降50%为判断标准,有效率达83%。结论OSAHS患者手术时应尽量保留悬雍垂,保留咽腔基本解剖结构,手术有效率高,并发症少。
Objective To investigate the effect of preserving uvulopalatopharyngoplasty on obstructive sleep apnea-hypopnea syndrome. Methods A total of 120 patients with obstructive sleep apnea-hypopnea syndrome were selected for preservation of uvulopalatopharyngoplasty and polysomnography was performed before and after surgery. Results All patients were followed up for 3 months, 118 cases of daytime sleepiness and sleep apnea disappeared, 2 cases no improvement in status; polysomnography, sleep apnea hypopnea index decreased 50% as the standard of judgment, the effective rate was 83% . Conclusion OSAHS patients should try their best to keep the uvula during operation, keep the basic anatomy of the pharynx, and the operation efficiency is high and there are few complications.