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目的 探讨改良悬雍垂腭咽成形术 (UPPP)手术方法及保留悬雍垂的意义 ,提高悬雍垂腭咽成形术手术疗效 ,减少术后并发症。方法 经睡眠呼吸监测分析仪 (PSG)监测后确诊为阻塞性睡眠呼吸暂停综合征(OSAS) ,手术治疗 42例患者 ,随访 6个月以上。结果 显效 2 3例 ,进步 12例 ,无效 7例 ,总有效率 83.2 0 % ,无 1例出现腭咽关闭不全、咽腔瘢痕狭窄、误咽等并发症。结论 改良UPPP手术是治疗OSAS可靠、有效的手术方法 ,术后并发症少
Objective To investigate the surgical methods of uvulopalatopharyngoplasty (UPPP) and the significance of preserving uvula to improve the curative effect of uvulopalatopharyngoplasty and reduce the postoperative complications. Methods Obstructive sleep apnea syndrome (OSAS) was diagnosed by sleep apnea monitoring analyzer (PSG). Surgical treatment of 42 patients was followed up for more than 6 months. The results were effective in 23 cases, 12 cases of progress, 7 cases were ineffective, the total effective rate was 83.2%, no case of velopharyngeal insufficiency, pharyngeal scar stenosis, swallowing and other complications. Conclusion The modified UPPP is a reliable and effective surgical method for the treatment of OSAS with less postoperative complications