Study On Effect Of UPPP With Uvula Reserved Completely

[Objective]Obstructive sleep apnea-hypopnea syndrome(OSAHS) is a severe hypno-respiratory disturbance disease. It is payed close attention for its multisystem damage, multicomplications and gradual multioccurrence. The anatomic stricture and the reinforcement of soft tissue's collapse in the upper airway are very important of all agents in OSAHS. Many studies have been vertified that the upper airway anatomic stricture was almost take place in oropharynx. The uvula's effect is gradually realized these years and then the uvulopalatopharyngoplasty with uvula reseaved completely is developed. Our try is to help to develope the uvulopalatopharyngoplasty with uvula reseaved completely by constrasting the preoperative and postoperative patients.[Methods]We follow up the postoperative patients for 18 to 50 months and contrast those clinical symptom, oropharyngeal anatomic diameters and part patients' AHI and SaO₂. Our trial' datas were dealed with mean square analysis and t-test by SPSS 11.5[Results]The patients' subjective effect is better than objective effect. The postoperative length of uvula, width of uvula base, DBTP, DBUP, distance between uvula base and dorsum of tongue were significantly longer than those before Uppp (p<0.01).The postoperative lengh of soft palate was significantly shorter than that before Uppp(p<0.01).There was no significance difference in BMI and perimeter of neck between preoperative and posterative patients (p>0.1) .[Conclusions]The uvulopalatopharyngoplasty with uvula reseaved completely is a effective method to solve the striction of the upper airway, especially in oropharynx and its prostecdtive efficacy is satisfactory.