摘要：目的探讨改良腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的临床疗效。方法将80例阻塞性睡眠呼吸暂停综合征患者按照抛硬币方法随机分为两组，分别标记为对照组、治疗组。对照组40例患者采用传统悬雍垂腭咽成形术(UPPP)治疗，治疗组40例患者采用改良腭咽成形术治疗，比较两组患者治疗效果及并发症情况。结果两组患者治疗后嗜睡、打鼾较治疗前均有所改善，但是治疗组改善更为明显，两组患者治疗前后差异具有统计学意义(P<0.05)；对照组患者术后并发症发生率为22.5%，治疗组患者术后并发症发生率为10.0%，两组比较差异具有统计学意义(P<0.05)。结论改良腭咽成形术治疗阻塞性睡眠呼吸暂停综合征疗效更确切，值得临床进一步推广应用。

    关键词：阻塞性睡眠呼吸暂停综合征；改良腭咽成形术；临床治疗效果

    Improved UPPP Clinical Efficacy of the Treatment of Obstructive Sleep Contrast Apnea Syndrome

    YANG Bin-cheng,DUAN Li-fu

    (1.Department of Otorhinolaryngology-Head and Neck Surgery,The First People's Hospital of Zigong City,Zigong 643000，Sichuan,China)

    Abstract：ObjectiveExplore improved clinical efficacy of uvulopalatopharyngoplasty treatment of obstructive sleep apnea syndrome. Methods80 patients with obstructive sleep apnea syndrome coin toss method according to randomized into two groups,labeled as the control group,treatment group.Control group of 40 patients were treated with traditional surgery uvulopalatopharyngoplasty (UPPP) treatment group of 40 patients using the modified UPPP therapy,treatment and complications were compared in patients.ResultsAfter treatment,sleepiness,snoring than before treatment have improved,but the improvement in the treatment group was more obvious differences between the two groups of patients before and after treatment was statistically significant (P<0.05);postoperative complications occurred in patients in the control group was 22.5% of patients after treatment complication rate was 10.0% in the group,the difference was statistically significant (P<0.05).ConclusionModified uvulopalatopharyngoplasty treatment of obstructive sleep apnea syndrome is more precise,symptoms improved significantly,fewer complications,is safe and effective and is worthy of further promotion. ......