低温等离子射频辅助下H—UPPP手术治疗重度OSAHS疗效分析  

作　　者：张晓斌[1] 王泰敏[1] 拾景强[1] 王浩[1] 

机构地区：[1]徐州医学院附属徐州市立医院耳鼻咽喉科,221002

出　　处：《浙江临床医学》2010年第11期1171-1173,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨低温射频等离子（temperature-controlled radio-frequency, TCRF）辅助下改良悬雍垂腭咽成形术（H-UPPP）治疗重度阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hyopnea syndrome,OSAHS）的疗效.方法 全身麻醉下对25例重度OSAHS行TCRF辅助下H-UPPP,术后6个月复查多导睡眠监测（PSG）,判定疗效.结果 治愈5例,显效15例,有效3例,无效2例,总有效率92%.术后6个月睡眠呼吸暂停低通气指数（AHI）和最低血氧饱和度（L-SaO2）与术前比较明显改善：AHI P〈0.01,最低SaO2 P〈0.05.结论 低温等离子射频辅助下H-UPPP是治疗多平面阻塞、重度OSAHS的一种有效方法.Objective To explore the therapeutic efficacy of severe obstructive sleep apnea hyopnea syndrome （OSAHS） by temperature controlled radio - frequency （TCRF） Aided H - uvulopalatopharyngoplasty （ H - UPPP）. Methods 25 cases of severe OSAHS diagnosed by polysomnography （PSG） and by Muller＇s maneuver were treated surgically by H -UPPP combined with TCRF. All the cases received polysomnography before the operation and 6 month after the operation. Results For 25 cases,5 patients were cured, 15 patients were improved,3 patients were effective and 2 patients were not improved. The total effective rate was 92%. AHI and L - SaO2 were improved significantly compared with those before operation. Conclusion TCRF Aided H - UPPP is one of the effective methods to treat severe OSAHS.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 改良悬雍垂腭咽成形术 低温射频等离子消融术 

分 类 号：R563.8[医药卫生—呼吸系统]