[Contrast the curative effect of the improved UPPP and traditional UPPP in treating OSAHS].

OBJECTIVE

To compare the curative effect of the reserving soft palate and part uvula UPPP and traditional UPPP in OSAHS Patients.

METHOD: Eighty-five OSAHS patients were selected and were performed two groups :improved UPPP (44 cases) and traditional UPPP (41 cases). The follow-up was carried out in 6 months and 1 year after operation, and the curative effects were compared.

RESULT: The improved UPPP had been performed on forty-four patients and the traditional UPPP on forty-one patients. The total effective rate in improved UPPP group was 56.82% (25/44), in UPPP group was 58.54% (24/41)6 months later, there was no statistically significant difference between them (P > 0.05). The total rate of the postoperative complication in improved group was 36.36% (16/44), in traditional UPPP group was 68.29% (28/41) 6 months later, there was a statistically significant difference between them (P < 0.05). The total effective rate in improved UPPP group was 47.73% (21/44), in traditional UPPP group was 46.34% (19/41) 1 year later, there was no significant difference between them (P > 0.05). The total rate of the postoperative complication in improved UPPP group was 27.27% (12/44), in traditional UPPP group was 73.17% (30/41)1 year later, there was a statistically significant difference between them (P < 0.05).

CONCLUSION

It may get identical curative effect to use improved UPPP and traditional UPPP for those oropharynx obstruction OSAHS patients. But improved UPPP may efficiently reduce the rate of the postoperative complication.