马梓悦,鲍溪源,姚长玉,王大明,刘业海,吴静

• 1:安徽医科大学第一附属医院耳鼻咽喉头颈外科

摘要(Abstract)：

目的:探讨微创解剖针下精准悬雍垂-腭-咽成形术(uvulopalatopharyngoplasty, UPPP)的临床应用安全性及效果。方法:回顾性纳入安徽医科大学第一附属医院耳鼻咽喉头颈外科2025年3月至2026年3月采用微创解剖针行精准UPPP治疗的阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome, OSAHS)患者，系统收集其完整临床资料，统计分析手术时长、术中器械应用情况、术后恢复进程及并发症发生情况，客观评价该术式的临床安全性与疗效。结果:共收集22例使用微创解剖针行精准UPPP患者资料，22例患者均同时行扁桃体全部或部分切除及UPPP,并同期行鼻腔扩容手术，扁桃体全部或部分切除及UPPP操作时间为15～25 min,手术过程均顺利，所有患者术后住院过程中均无呼吸困难、出血等并发症。术后第2天上午进行疼痛视觉量表评估，得分1～3分，平均2.13分，术后2～3 d出院。随访4周，1例患者术后7 d咽部少许出血，无患者因术区出血再次住院治疗、术后4周复诊术区均基本恢复正常。结论:微创解剖针辅助下的精准UPPP手术具有良好的安全性。该术式创伤小，能有效减轻OSAHS患者术后咽部疼痛及术区软组织水肿程度，并缩短住院时间，具备较高的临床推广价值。

关键词(KeyWords)： 阻塞性睡眠呼吸暂停低通气综合征;悬雍垂腭咽成形术;微创解剖针

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 马梓悦,鲍溪源,姚长玉,王大明,刘业海,吴静

DOI: 10.13201/j.issn.2096-7993.2026.10.006

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