| 低温等离子射频腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效观察 |
| |
| 引用本文： | 罗志宏,蔡林利,陈金辉,陶泽璋.低温等离子射频腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效观察[J].武汉大学学报(医学版),2009,30(2). |
| |
| 作者姓名： | 罗志宏 蔡林利 陈金辉 陶泽璋 |
| |
| 作者单位： | 1. 武汉大学人民医院鼾症中心,湖北,武汉,430060
2. 武汉市新洲区人民医院,湖北,武汉,430400 |
| |
| 基金项目： | 湖北省科技攻关项目(编号:2004AA301C30);;湖北省教育厅资助项目(编号:2003X114) |
| |
| 摘 要： | 目的:对局麻下低温等离子射频治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效进行观察,为该手术的选择提供理论依据。方法:选用低温等离子射频于局麻下分别对138例OSAHS患者进行腭咽成形术治疗,术后随访6个月和12个月。根据手术前后PSG监测结果,得出治疗有效率,并比较睡眠呼吸暂停低通气指数(AHI)及最低血氧饱和度(LSaO2)改善情况。结果:术后6个月、12个月总有效率分别为85.7%和79.7%,平均AHI分别降低56.2%(P<0.01)及50.5%(P<0.05),平均LSaO2分别升高15.5%(P<0.05)及14.0%(P<0.05)。术后12个月与6个月比较,疗效差异无统计学意义,P>0.05。所有病例无术后呼吸道梗阻、无大出血等严重并发症。结论:局麻下低温等离子射频治疗OSAHS疗效确切,手术安全。在病例选择合适时,用局麻下行低温等离子射频腭咽成形术方法可达到全麻下行UPPP手术效果,在病例选择合适时用局麻方法可达到全麻手术效果。该术式可以成为OSAHS患者手术治疗的选择之一。
|
| 关 键 词： | OSAHS 阻塞性睡眠呼吸暂停低通气综合征 低温等离子射频消融术 疗效 |
Clinical Study of the Treatment with Uvulopalatopharyngoplasty by Plasma Scalpel Under Local Anesthesia for Obstructive Sleep Apnea Syndromes |
| |
| LUO Zhihong,CAI Linli,CHEN Jinhui,TAO Zezhang.Clinical Study of the Treatment with Uvulopalatopharyngoplasty by Plasma Scalpel Under Local Anesthesia for Obstructive Sleep Apnea Syndromes[J].Medical Journal of Wuhan University,2009,30(2). |
| |
| Authors: | LUO Zhihong CAI Linli CHEN Jinhui TAO Zezhang |
| |
| Institution: | LUO Zhihong1,CAI Linli2,CHEN Jinhui1,TAO Zezhang11Dept.of Otolaryngology-Head & Neck Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China2Dept.of Otolaryngology,Renmin Hospital of Xinzhou District,Wuhan 430400,China |
| |
| Abstract: | Objective: To investigate the treatment of obstructive sleep apnea syndrome(OSAS) with uvulopalatopharyngoplasty(UPPP) by plasma scalpel.Methods: The improved UPPP operations by plasma scalpel under local anesthesia were performed on 138 cases.Results: The clinical results showed that 85% of the operated patients(114 cases) improved after 6 months of the operation,79% of the operated patients(110 cases) improved after 12 months of the operation.Conclusion: Uvulopalatopharyngoplasty by plasma scalpe is one o... |
| |
| Keywords: | Obstructive Sleep Apnea Syndrome Uvulopalatopharyngoplasty |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
