CAJ | 학술논문

目的：分析保留悬雍垂腭咽成形术（H-UPPP）在治疗阻塞性睡眠暂停低通气综合征（OSAHS）中的临床疗效。方法用保留悬雍垂腭咽成形术（H-UPPP）治疗患者30例，术后随访1个月～1年，术后6个月给予多导睡眠监测（PSG），分析其疗效程度。结果术后6个月行手术疗效评定：治愈5例，显效15例，有效8例，无效2例。术后6个月有效率为93．3％，术后1年有效率为91．3％。术后6个月PSG监测显示呼吸暂停低通气指数（AHI）、最低血氧饱和度（LSaO2）及临床症状均较术前明显改善。结论根据腭、舌部解剖结构应用H-UPPP治疗中、重度OSAHS患者取得了较好的疗效，术后咽腔接近正常解剖形态，并且术后并发症少，患者易接受，具有临床推广应用价值。
목적：분석보류현옹수악인성형술（H-UPPP）재치료조새성수면잠정저통기종합정（OSAHS）중적림상료효。방법용보류현옹수악인성형술（H-UPPP）치료환자30례，술후수방1개월～1년，술후6개월급여다도수면감측（PSG），분석기료효정도。결과술후6개월행수술료효평정：치유5례，현효15례，유효8례，무효2례。술후6개월유효솔위93．3％，술후1년유효솔위91．3％。술후6개월PSG감측현시호흡잠정저통기지수（AHI）、최저혈양포화도（LSaO2）급림상증상균교술전명현개선。결론근거악、설부해부결구응용H-UPPP치료중、중도OSAHS환자취득료교호적료효，술후인강접근정상해부형태，병차술후병발증소，환자역접수，구유림상추엄응용개치。
Objective To explore the efficacy of H-uvulopalatopharyngoplasty (H-UPPP)in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS).Methods Thirty cases were treated with H-uvulopalatopharyngoplasty and followed up for 1 month to 1 years.Polysomnography(PSG)was given 6 months after operation to analyze the efficacy.Results The six-month postoperative cura-tive effect was as follows:5 cases were cured,15 cases markedly effective,8 cases effective,and 2 cases invalid.The 6-month and 1-year postoperative efficiency rates were 93.3%and 91.3%,respectively.Six-month postoperative PSG monitoring showed that apnea hypop-nea index (AHI),the lowest oxygen saturation (LSaO2 )and the clinical symptoms were improved obviously after operation.Conclu-sions The application of H-UPPP based on the palate,tongue anatomical structure in the treatment of patients with severe OSAHS has achieved a good curative effect.Postoperative pharyngeal cavity is close to the normal anatomic form,and there are less postoperative complications and can be easily accepted by patients,which is worthy of clinical promotion.