低温等离子射频消融术和口腔矫治器综合治疗阻塞性睡眠呼吸暂停低通气综合征

目的：探讨用低温等离子射频消融术（RFA）和口腔矫治器（OA）综合治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的疗效和OA的不良反应。方法：对21例OSAHS患者按阻塞平面分型，分别采用RFA或（和）OA治疗。治疗前做PSG检查，摄头颅侧位片，制作牙模Ⅰ。治疗后3个月，作PSG评价疗效；治疗后14-24个月，摄X线头颅侧位片和制作牙模Ⅱ，与治疗前对比测量。结果：治疗后PSG参数减小，X线头颅侧位片测量骨骼无明显改变，牙模测量牙咬合改变。结论：RFA和OA综合治疗OSAHS效果良好。

The effect of the combined therapy on obstructive sleep apnea hypopnea syndrome

Objective:To study the effect of the combined therapy on obstructive sleep apnea hypopnea syndrome(OSAHS) with radiofrequency ablation(RFA)and oral appliance ( OA),and to evaluate the side effect of oral appliances.Method:Twenty one cases with OSAHS were selected to receive radiofrequency ablation or/and to wear oral appliance according to obstructive site.Polysomnography (PSG) was used before and after 3 months of treatment to evaluate the therapeutic effect. We analyzed the lateral cephalogram and dental casts before initiating treatment and after 14~24 months of treatment.Result:PSG studies confirmed improved breathing parameters with the combined therapy. No skeletal changes in the position of the mandible were noted,a alteration in the occlusion was found for lifelong OSAHS treatment with an OA.Conclusion:This combined therapy is effective for OSAHS, regular dental follow up visits are necessary when lifelong OSAHS treatment with an OA is being considered for patients with OSAHS.