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

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。

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

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.