U缝合技术悬雍垂腭咽成形术.doc

文档介绍：U缝合技术悬雍垂腭咽成形术           作者:修世国叶辉姜宪金凤    【摘要】 目的改进悬雍垂腭咽成形术(uvulopalatopharyngoplasty,UPPP)的传统缝合技术,探讨U缝合技术在UPPP中的应用效果,提高UPPP的疗效。方法治疗阻塞性睡眠呼吸暂停低通气综合征(Obstructivesleepapneahypopneasyndrome,OSAHS)患者86例,随机分为实验组46例,对照组40例。实验组按照改良UPPP术式切除相应组织,U形缝合软腭外侧及咽侧壁;对照组按照改良UPPP术式进行切除及切缘对位缝合。结果实验组主观症状明显改善者占97%,有效率为83%;对照组分别为89%和70%。结论此种缝合技术有效地改善了传统缝合技术不可避免的切口裂开、缝线切割等并发症,更为有效地扩大腭后隙的前后径/左右径,减少了因缝合后组织回位造成的治愈率下降问题,提高了UPPP的疗效。【关键词】 睡眠呼吸暂停低通气综合征悬雍垂腭咽成形术缝合技术 Abstract:ObjectiveToimprovetheconventionalsuturationskillinuvulopalatopharyngoplasty, wererandomlyallocatedtotreatmentgroup(46cases)andcontrolgroup(40cases).PatientsintreatmentgroupwereoperatedwithimprovedUPPP,%,theeffectiveratewas83%accordingtoAHIdecreased﹥50%afterPSG,andthosewas89%and70%,enlargeanteroposteriordimension/bilateraldimensionbehindsoftpalate,elevatecureratethroughUPPP. Keywords:Sleepapneasyndromes; Uvulopalatopharyngoplasty; Suturationskill   悬雍垂腭咽成形术(uvulopalatopharyngoplasty,UPPP)是目前广泛应用的治疗阻塞性睡眠呼吸暂停低通气综合征(Obstructivesleepapneahypopneasyndrome,OSAHS)的方法,但手术成功率一直徘徊在40%~53%左右[1,2],如何提高手术成功率是