Comparation between modified coblation assisted uvulopalatopharyngoplasty and conventional uvulopalatopharyngoplasty in operative complication
10.3760/cma.j.issn.1673-0860.2012.02.004
- VernacularTitle:低温等离子辅助悬雍垂腭咽成形术与常规手术并发症的比较
- Author:
Xiong CHEN
1
;
Ying XIAO
;
Lie-Chun HE
;
Jia-Qi DONG
;
Wei-Jia KONG
Author Information
1. 华中科技大学同济医学院附属协和医院
- Keywords:
Intraoperative complications;
Postoperative complications;
Ablation techniques;
Otorhinolaryngologic surgical procedures;
Sleep apnea,obstructive
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(2):101-106
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the operative effectivity and incidence of postoperative complication between conventional uvulopalatopharyngoplasty (UPPP) and modified coblation assisted UPPP (M-CAUP) in treating patients with obstructive sleep apnea-hypopnea syndrome (OSAHS).And to explore the more effective,safer and minimally invasive operative method in surgical therapy of OSAHS.Methods It was a controlled trial.A retrospective analysis was made on surgical complications of conventional UPPP and of M-CAUP performed on OSAHS patients from 1995 to 2010.There were 451 patients in UPPP group and 323 patients in M-CAUP group.x2 test and Fisher's Exact test were used in statistical analysis.Results The incidence of serious surgical complications was higher in conventional UPPP group (3.77％,17/451) than that in M-CAUP group (0.62％,2/323),x2 =7.800,P ＜ 0.01,while the incidence of short-term complications was higher in M-CAUP group (90.40％,292/323 ) than that in conventional UPPP group (60.98％,275/451),x2 =83.186,P ＜ 0.01.The difference of long-term complications was not statistically significant between M-CAUP group and conventional UPPP group (P =0.1331,Fisher Exact test).There was no significant difference in incidence of asphyxia between M-CAUP group and conventional UPPP group (P ＜ 0.01,Fisher Exact test).However,the incidence of post-operative primary hemorrhage was obviously lower in M-CAUP group than that in conventional UPPP group ( 3.99％,18/451 ),x2 =12.133,P ＜ 0.01.While the incidence of delayed hemorrhage,temporal velopharyngeal insufficiency,and foreign body sensation at pharynx were higher in M-CAUP group (8.05％, 12.69％, 68.42％,respectively) than that in conventional UPPP group (3.77％,3.33％,51.00％,respectively) P ＜0.01,respectively.There was no significant difference in incidence of permanent velopharyngeal insufficiency,stenosis of nasopharynx and nasopharyngeal atresia,alteration of taste,throat itch and coughing.Conclusion Compared to the conventional UPPP,M-CAUP was more effective and safer in treating OSAHS with less severe complications during and after the operation.
