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目的:评价以悬雍垂腭咽成形术(UPPP)为基础的改良式腭咽腔扩大术对阻塞性睡眠呼吸暂停综合征(OSAS)的临床治疗效果。方法:对211例OSAS患者进行改良式腭咽腔扩大成形外科手术治疗。结果:睡眠血氧饱和度术后与术前相比改善为98.1％;随访2年改善为91.07％。109例伴有晨起高血压患者术后78例血压有明显好转(71.6％);113例男性伴阳痿的患者术后有93例症状明显改善(82.3％)。结论:改良式腭咽腔扩大术对OSAS患者近期及远期临床治疗效果满意,是治疗OSAS患者值得推广的一个手术方法。
Objective: To evaluate the clinical effect of modified velopharyngeal augmentation on obstructive sleep apnea syndrome (OSAS) with uvulopalatopharyngoplasty (UPPP). Methods: 211 patients with OSAS underwent modified velopharyngeal augmentation surgery. Results: The oxygen saturation of sleep improved from 98.1% before surgery to 91.07% after 2 years follow-up. Among the 109 patients with morning-onset hypertension, the blood pressure was significantly improved in 78 patients (71.6%); 93 of the 113 men with impotence were significantly improved in their symptoms (82.3%). Conclusion: The modified velopharyngeal augmentation is satisfactory for the short-term and long-term clinical outcomes of patients with OSAS. It is a surgical method worthy of promotion in patients with OSAS.