低温等离子辅助改良腭咽成形、舌减容加选择性鼻腔扩容术治疗中重度OSAHS  

Low-temperature plasma assisted surgery combined with modified UPPP,tongue volume reduction and selective nasal cavity dilatation for OSAHS at moderate to severe degrees

作　　者：汪守峰[1] 张希龙 怀德 解成兰[3] 曹影[1] 徐敏[4] 戴俊[1] 殷敏[5] 宋红毛[1] 王海旭[1] 金同爱 

机构地区：[1]徐州医科大学附属淮安医院,江苏省淮安市第二人民医院耳鼻咽喉科,江苏淮安223002 [2]南京医科大学第一附属医院睡眠呼吸科 [3]徐州医科大学附属淮安医院,江苏省淮安市第二人民医院麻醉科 [4]徐州医科大学附属淮安医院,江苏省淮安市第二人民医院影像科 [5]南京医科大学第一附属医院耳鼻咽喉科

出　　处：《中国中西医结合耳鼻咽喉科杂志》2017年第1期46-49,25,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：江苏省“333高层次人才培养工程”资助科研项目(编号:BRA-2014131);江苏省淮安市2016重点研发计划项目(社会发展)(HAS201611)

摘　　要：目的观察低温等离子辅助改良悬雍垂腭咽成形术(UPPP)、舌减容联合选择性鼻腔扩容术治疗中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效。方法回顾性分析我科2013年10月~2016年2月收治的156例中重度OSAHS患者,按手术方式分为观察组和对照组,每组78例。观察组患者采用低温等离子辅助改良UPPP联合舌体、舌根减容加选择性鼻腔扩容术,对照组患者行常规腭咽成形加鼻腔扩容术。术后随访6个月,比较两组临床疗效、手术并发症及术后复发情况。结果观察组和对照组的总有效率分别为80.77%和61.54%,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,术后恢复也优于对照组。结论低温等离子辅助改良UPPP、舌减容联合选择性鼻腔扩容术综合治疗中重度OSAHS,效果较为满意,值得在临床推广应用。Objective To investigate the efficacy of low-temperature？plasma assisted surgery combined with modified uvulopalatopharyngoplasty（UPPP）, tongue volume reduction and selective nasal cavity dilatation for cases with obstructive sleep apnea hypopnea syndrome（OSAHS） at moderate to severe degrees based on a retrospective clinical analysis. Methods A retrospective analysis was made on 156 patients with OSAHS at moderate to severe degrees, treated in our Hospital from Oct. 2013 to Feb. 2016.These patients were divided into two groups according to the type of surgery that they undergone, with 78 cases in each group.Patients in observation group（OG） received low-temperature plasma assisted surgery combined with modified UPPP, tongue root volume reduction and selective nasal cavity dilatation, while those in control group（CG） were treated by classic UPPP and selective nasal cavity dilatation procedures. All these patients were followed up for 6 months after the surgery. Then, a comparative analysis was made on clinical therapeutic effect, operative complications and postoperative relapse between the two groups. Result The total effective rate was 80.77% for cases in OG and 61.54% for those in CG respectively, with statistical significance in the difference between them（P〈0.05）. Furthermore, the incidence of surgery associated complications was lower than that of CG and postoperative recovery of OG was superior to that of CG as well. Conclusion It is very satisfactory with the therapeutic effect of low-temperature？plasma assisted surgery combined with modified UPPP, tongue root volume reduction and selective nasal cavity dilatation to treat patients with OSAHS at moderate to severe degrees. Therefore, this procedure is worthy of promoting into clinical utilizing.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 治疗程序 低温等离子术 综合性手术 疗效 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]