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目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)行全长保留悬雍垂腭咽成形术后远期的口咽腔解剖径线的变化。方法:对31例行全长保留悬雍垂腭咽成形术后的OSAHS患者进行随访,并且根据其手术前后口咽腔测量结果进行比较分析,包括:悬雍垂长、悬雍垂基底宽、腭舌弓间距和腭咽弓间距、软腭长度、悬雍垂至咽后壁的间距,此外还有颈围和体质指数。结果:OSAHS患者术后与术前相比较,悬雍垂的长与悬雍垂的基底宽、两侧腭弓(腭咽弓或腭舌弓)间距、软腭的长度、悬雍垂至咽后壁的距离均差异有统计学意义(均P<0.05),而颈围及体质指数均差异无统计学意义(均P>0.05)。结论:全长保留悬雍垂腭咽成形术是解决上气道狭窄,尤其是口咽部狭窄的有效手术方法,可以扩大患者口咽部左右径达到健康人水平。
Objective: To investigate the long-term changes of oropharyngeal anatomic diameter after obstructive sleep apnea-hypopnea syndrome (OSAHS) with full-length preserved uvulopalatopharyngoplasty. Methods: Thirty-one patients with OSAHS after full-length preservation of uvulopalatopharyngoplasty were followed up and analyzed according to the oropharyngeal measurements before and after surgery, including long uvula length, wide basal uvula, Palatal arch spacing and palatal pharyngeal arch spacing, soft palate length, uvula to pharyngeal wall spacing, in addition to neck circumference and body mass index. Results: Compared with preoperative, the length of the uvula and the uvula, the distance between the palatal arch (palatopharyngeal arch or palatal arch), the length of the soft palate, the uvula to the pharynx There was significant difference in the distance between the wall and the wall (all P <0.05), while there was no significant difference in neck circumference and body mass index (all P> 0.05). CONCLUSION: Full-length preserved uvulopalatopharyngoplasty is an effective surgical method for the treatment of upper airway stenosis, especially for oropharyngeal stenosis, which can increase the left-right diameter of oropharynx of patients to reach the level of healthy people.