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射频消融治疗悬雍垂腭咽成形术后无效的阻塞性睡眠呼吸暂停低通气综合征
引用本文:李红光,李志勇,彭涛,郭建萍.射频消融治疗悬雍垂腭咽成形术后无效的阻塞性睡眠呼吸暂停低通气综合征[J].西部医学,2008,20(6):1251-1252.
作者姓名:李红光  李志勇  彭涛  郭建萍
作者单位:川北医学院第二临床医学院南充市中心医院耳鼻咽喉科,四川,南充,637000
摘    要:目的探讨等离子低温射频消融(Temperature-controlled radiofrequency ablation,RFA)治疗悬雍垂腭咽成形术(Uvulopalatopharyngoplasty,UPPP)、术后无效的阻塞性睡眠呼吸暂停低通气综合征(Obstructive sleep apnea hypopnea syndrome,OSAHS)的疗效。方法选择18例UPPP术后无效的0SAHS患者接受RFA治疗。比较治疗前后呼吸暂停低通气指数(AHI)、最低血氧饱和度(LSaO2)、鼾声评级和Epworth嗜睡程度评分,评价治疗效果。结果治疗总有效率66.67%,患者治疗6月后鼾声评级降低,Epworth嗜睡程度改善。治疗后6个月AHI较治疗前降低。结论对UPPP术后无效的OSAHS,等离子低温射频消融(RFA)是一种有效的治疗方法。

关 键 词:射频消融  阻塞性睡眠呼吸暂停低通气综合征  悬雍垂腭咽成形术

Effect of radiofrequency ablation on ineffective obstructive sleep apnea hypopnea syndrome after uvulopalatopharyngoplasty
LI Hong-guang,LI Zhi-yong,PENG Tao,et al.Effect of radiofrequency ablation on ineffective obstructive sleep apnea hypopnea syndrome after uvulopalatopharyngoplasty[J].Medical Journal of West China,2008,20(6):1251-1252.
Authors:LI Hong-guang  LI Zhi-yong  PENG Tao  
Institution:LI Hong-guang,LI Zhi-yong,PENG Tao,et al(Department of ENT,The Central Hospital of Nanchong,The Second Clinical Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
Abstract:Objective To investigate the curative effect of radiofrequency ablation(RFA) on ineffective obstructive sleep apnea hypopnea syndrome(OSAHS) after uvulopala topharyngoplasty(UPPP).Methods 18 cases with OSAHS which were ineffective after UPPP were treated with RFA.Preoperative apnea hypopnea index(AHI),lowest saturation of blood oxygen(LSaO2),snoring scale and Epworth sleepiness scale were observed.Results 6 months after treatment,the rate of effect was 66.67%,Epworth sleepiness scale,snoring scale and apnea...
Keywords:Radiofrequency ablation  Sleep apnea hypopnea syndrome  obstructive  Uvulopalatopharyngoplasty  
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