两种等离子术式治疗阻塞性睡眠呼吸暂停低通气综合征的疗效比较  

COMPARISION OF EFFECTIVENESS OF TWO TEMPERATURE CONTROLLED RADIOFREQUENCY ABLATION ON THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME

作　　者：范敏[1] 陈思[1] 蒋锐明[1] 成宝红[1] 崔榕[1] 

机构地区：[1]成都市第七人民医院耳鼻喉科,成都610041

出　　处：《现代预防医学》2006年第7期1107-1108,共2页Modern Preventive Medicine

摘　　要：目的：比较全麻下等离子刀腭咽成形术与局麻下等离子刀打孔消融＋切割术治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）疗效。方法：将55例OSAHS患者随机分为两组，A组25例，B组30例，A组采用气管插管，静脉复合麻醉下行等离子刀腭咽成形术；B组采用局麻下等离子刀打孔消融＋切割术。术后随访6～12个月。结果：术后6个月，A、B两组有效率比较无显著性差异，分别为88％和83．3％，P〉0．05，术后12个月A组有效率明显优于B组，分别为84％和56．6％，P〈0．01。结论：全麻下等离子刀腭咽成形术较局麻下单纯等离子刀打孔消融＋切割术远期疗效好，是一种安全、微创、值得推广的术式。Objective： To compare the effectiveness of coblation assisted uvulopalatopharyngoplasty （UPPP） under general anesthesia and radiofrequency tissue volumetric reduction （RFTVR） under local anesthesia in patients with obstructive sleep apnea hypopnea syndrome （OSAHS）. Methods： 55 OSAHS patients were randomly devided into A group （ n = 25） and B group （ n = 30）. Patients in A group were treated with coblation assisted UPPP （CAUP） under general anesthesia, while those in B group were treated with RFTVR under local anesthesia. All patients were followed up from 6 to 12 months. Results： 6 months after operation, the validity ratios of two groups were of no statistical significance （88.0% and 88.3% ） （P 〉0.05）. However, the validity ratios of 12 months after operation were of significant difference between A group and B group, which was 84.0 % and 56.6 % respectively （ P 〈 0.01）. Conclusion： The long-term effectiveness of CAUP under general anesthesia was better than that of of RFTVR unde local anesthesia. The CAUP under general anesthsia was a safe, microinvasive and practical method for the patients with OSAHS.

关 键 词：低温等离子手术系统(ENTec-ooblutor^TM) 阻塞性睡眠呼吸暂停低通气综合征(OSAHS) 腭咽成形术是一种安全、微创、值得推广的术式 

分 类 号：R562[医药卫生—呼吸系统]