目的 探讨应用改良悬雍垂腭咽成形术(UPPP)加选择性鼻腔扩容术治疗多平面狭窄致阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的方法、疗效、应用价值等.方法 对83例多平面狭窄所致的OSAHS患者采用改良UPPP加选择性鼻腔扩容术,其中10例分期完成手术.结果 术后6个月复查,83例中有效19例(22.9％),显效48例(57.8％),治愈16例(19.3％),总有效率为100％.术后1年复查59例,其中有效14例(23.7％),显效35例(59.3％),治愈6例(10.2％),总有效率为93.2％.结论 多平面阻塞导致的OSAHS患者采用改良UPPP加选择性鼻腔扩容术,一次手术彻底解决了上气道鼻腔、鼻咽、口咽部等处多平面狭窄,但须严密防范并发症.%Objective To evaluate the efficacy and value of the modified uvula elopharyngeal plasty (UPPP) combined with selective nasal expansion to multi-plane stenosis caused by obstructive sleep apnea hypopnea syndrome (OSAHS), efficacy, and value. Method 83 cases of stenosis due to the multi-plane OSAHS were performed UPPP plus selective nasal cavity expansion technique, of which 10 cases completed by phases surgery. Results The postoperative results in 6 months showed that 19 of 83 cases was effective (22.9%), 48 cases was significant effective (57.8%), 16 patients were cured (19.3%), total effective rate was 100%. 1 year follow-up, 14 of 59 cases were effective (23.7%), 35 cases is significant effective (59.3%), 6 cases were cured (10.2%), total effective rate was 93.2%. Conclusions Patients with plane obstruction caused by OSAHS can effectively treated by UPPP plus selective nasal cavity expansion technique, which completely solved the upper airway in the nasal cavity, nasopharynx, oropharynx, etc. flat narrow, but to be tight to prevent complications.
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