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目的:对重症阻塞性睡眠呼吸暂停综合征进行手术治疗,改进传统式手术方法,以提高手术的可靠性.方法:1997年11月~1999年2月共治疗22例,患者均为重症OSAS,采用UPPP加咽后壁扩展术,除常规行UPPP外,主要将咽后壁两侧粘膜行条形切除后外展缝合,将咽后壁的肥厚皱折的粘膜展平.结果:4例随访半年以上,18例随访一年以上,22例中21例睡眠中呼吸暂停消失,除有4例有轻度鼾声外,其余均无鼾声,高血压症状显著改善.结论:UPPP加咽后壁扩展术是治疗重症OSAS的一种良好手术方法.
Objective: To improve the reliability of surgical treatment of severe obstructive sleep apnea syndrome by surgical treatment.Methods: From November 1997 to February 1999, a total of 22 patients were treated, all of whom were severe OSAS, UPPP plus pharyngeal wall expansion, in addition to routine UPPP, the main pharyngeal mucosa on both sides of the line after removal of the strip sutured, the posterior wall of the hypertrophy wrinkled mucosa flattening.Results: 4 cases of follow-up More than half a year, 18 cases were followed up for more than a year, 21 cases of apnea apnea disappeared during sleep in 22 cases, except for 4 cases with mild snore, the rest were no snoring, hypertension significantly improved.Conclusion: UPPP plus pharyngeal wall expansion Surgery is a good surgical treatment of severe OSAS.