山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (1): 5-7.doi: 10.6040/j.issn.1673-3770.0.2014.240

• 睡眠呼吸障碍性疾病 • 上一篇    下一篇

三种手术方式在改良悬雍垂腭咽成形术中的疗效对比

苏跃1,2, 王中亮1, 曾珍1   

  1. 1. 江苏省苏北人民医院耳鼻咽喉头颈外科, 江苏 扬州 225001;
    2. 靖江市人民医院耳鼻咽喉头颈外科, 江苏 靖江 214500
  • 收稿日期:2014-07-20 出版日期:2015-02-16 发布日期:2015-02-16
  • 作者简介:苏跃。E-mail:suyue999@msn.com

Three different operative methods in H-UPPP

SU Yue1 2, WANG Zhong-liang1, ZENG Zhen1   

  1. 1. Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu, China;
    2. People's Hospital of Jingjiang, Jingjiang 214500, Jiangsu, China
  • Received:2014-07-20 Online:2015-02-16 Published:2015-02-16

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摘要： 目的 探讨应用超声刀、低温等离子刀以及传统方法进行改良悬雍垂腭咽成形术(H-UPPP)治疗阻塞性睡眠呼吸暂停综合征(OSAHS)的不同效果,并加以分析。方法 将需行H-UPPP的OSAHS患者分成超声刀组(A组)、低温等离子刀组(B组) 及传统组(C组),各42例。在静吸复合麻醉插管下,A组应用超声刀,B组应用改良低温等离子刀,C组应用传统方法,行改良悬雍垂腭咽成形术。对比三组患者的术中出血量、手术时间、术后疼痛程度、术后效果以及并发症的情况。结果 A、B组术中出血量明显少于C组,手术时间缩短明显,术后疼痛较轻,术后并发症及手术效果差异无统计学意义。结论 超声刀、低温等离子刀辅助下悬雍垂腭咽成形术术中出血少、手术时间缩短、术后反应小,其中低温等离子刀术后反应更小。

关键词: 睡眠呼吸障碍, 阻塞性, 超声刀, 低温等离子刀, 多导睡眠监测, 悬雍垂腭咽成形术

Abstract: Objective To compare the effects of harmonic scalpel, low-temperature plasma scalpel or traditional scalpel in Han-uvalopalatopharyngoplasty(H-UPPP) to treat obstructive sleep apnea and hyponca syndrome(OSAHS). Methods According to the methods in the operation of H-UPPP, OSAHS patients were divided into three groups: group A (harmonic scalpel), group B (low-temperature plasma scalpel) and group C (traditional scalpel). Each group had 42 cases. Intra-operative blood loss, operation time, degrees of postoperative pain, effective rate and complications after surgery were compared among the three groups. Results Intra-operative blood loss and surgery time of group A and B were much less and shorter than those of group C. However, the differences of effective rates and complications after surgery among three groups were not identified. Conclusion For H-UPPP, harmonic scalpel or low-temperature plasma scalpel can help reduce the blood loss and shorten surgery time. Among them,,low-temperature plasma scalpel demonstrates much less postoperative reaction.

Key words: Low-temperature plasma scalpel, Polysomnography, Obstructive sleep apnea hypopnea syndrome, Uvalopalatopharyngoplasty, Harmonic scalpel

中图分类号: 

  • R766.7
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