摘要
目的 :比较研究阻塞性睡眠呼吸暂停综合征 (OSAS)患者行腭咽成形术 (UPPP)和扁桃体剥离加激光辅助悬雍垂软腭成形术 (LAUP)的疗效。方法 :为 2 3例行 UPPP术 ,为 1 3例行 LAUP术 ,术前和术后 3个月分别测量软腭游离缘两端间距及软腭缘中心与相应平面咽后壁间距 ,计算扩大程度。结果 :前者左右径扩大 1 9.5± 4.5mm,前后径扩大 5.8± 2 .2 mm;后者分别为 1 2 .2± 3.8mm和 4.0± 1 .88mm。结论 :两种手术方法的疗效差异有显著性 (P<0 .0 5)
Objective:To compare the effectiveness of uvulopalatopharyngoplasty (UPPP) and tonsillectomy by dissection combined with laser-assisted uvulopalatoplasty (LAUP) in OSAS.Method:Twenty-three cases were performed UPPP,while thirteen cases were performed tonsillectomy by dissection and LAUP.The distance between the two free ends of soft palate,and the distance between the central point of soft palatal edge and the corresponding postpharyngeal were measured at 3 months preoperative and post- operative .The enlargement data were calculated.Results:The distance enlarged 19 5±4 5mm between the left and right ends,5.8±2.2mm between the front and back in the UPPP group.The distance enlarged 12.2 ±3.8mm and 4.0±1.88mm respectively in the LAUP group.Conclusion:The efficiencies are significantly different with two methods(P<0.05).
关键词
睡眠呼吸暂停综合征
腭咽成形术
口咽狭窄
Sleep apnea syndromes
Uvulopalatopharyngoplasty
Laser-assisted uvulopalatopharyngoplasty