摘要
目的:探讨腭咽微波成形术治疗阻塞性睡眠呼吸暂停低通气综合征((OSAHS)的临床疗效.方法:37例OSAHS患者均行悬雍垂腭咽微波成形术,其中3例单行腭咽微波成形术,29例加双侧腭扁桃体切除术,5例加双侧腭扁桃体切除术及舌根微波消融术.结果:37例患者术后未出现腭咽关闭不全.19例术后有咽部异物感,持续3～4个月渐消失.6个月后随访,治愈7例(18.92%),显效19例(51.35%),有效7例(18.92%),无效4例(10.81%),总有效率89.19%.术后6个月测量软腭长度较术前明显缩短(＜0.01).结论:悬雍垂腭咽微波成形术手术时间短、出血少,病人痛苦小,术后效果满意,不惜为治疗OSAHS一种有效的方法.
Objective ： To investigate the effect of uvulopalatopharyngoplasty（UPPP） by microwave treatment for obstructive sleep apnea-hypopnea syndrome（OSAHS）. Methods：Thirty-seven eases of OSAHS were performed UPPP by using microwave. Among them 3 eases received microwave palatopharyngoplastyonly. Twenty-nine eases underwent bilateral palatine tonsillectomy and another 5 eases underwent bilateral palatine tonsillectomy and tongue base microwave ablation apart from microwave pharyngoplasty. Results：No ease appeared velopalatal insufficiency. Nineteen patients felt foreign body in pharyngeal portion,which disappeared after 3-4 months. According to the evaluation standards set in Hangzhou Conference, follow-up was carried out after 6 months. It was found that 7 eases（18.92%）were cured;19（51.35%）showed a significant effect;7（18.92%） appeared effect and 4（10.81%）appeared no effect;and the total effect rate was 89.19^. Conclusion：Uvulopalatopharyngoplasty by using microwave needs less time, shows less hemorrhage and pain and good effects. It is a effective method.
出处
《实用临床医学（江西）》
CAS
2005年第12期135-137,共3页
Practical Clinical Medicine
作者简介
邹恒英（1963-），男，学士，副主任医师，研究方向；鼾症的治疗。
