等离子射频舌根部分切除术治疗阻塞性睡眠呼吸暂停低通气综合征

目的探讨提高阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneahypopneasyndrome,OSAHS)的有效治疗方法。方法采用等离子低温射频舌根部分切除术治疗72例OSAHS,术前及术后12周进行多导睡眠仪监测和Epworth嗜睡程度评分确定治疗效果。结果术后舌根体积明显缩小,自觉症状明显改善,Epworth嗜睡程度评分较治疗前明显降低和AHI明显降低。结论等离子低温射频舌根部分切除术在阻塞性睡眠呼吸暂停综合征的治疗中显示出一定的可行性、有效性和安全性。为临床医师提供了一种新的、理想的治疗手段。在上气道阻塞性疾病的治疗中将有更加广阔的应用前景。

Tongue base reduction with plasma radiofrequency for treatment of obstructive sleep apnea hypopnea syndrome

OBJECTIVE To investigate more effec tive treatment method for obstructive sleep apnea hypopnea syndrome(OSAHS). METHODS 72 patients with polysomnographically proven OSAHS were given radiofrequency ablation to their tongue base. The polysomnography examinations were carried out before and 12 weeks after radiofrequency operation respectively. The snoring scale and Epworth sleepiness score(ESS) were also compared. RESULTS 3M-6M follow-up showed that tongue base reduction is obvious and that the lowest pulse oxygen saturation improved significantly. In addition, there were significant differences in the decrease of apnea hypopnea index after operation(P < 0.05). 12 weeks after treatment, snoring scale and ESS decreased significantly( P< 0.01). CONCLUSION The results showed that tongue base with plasma radiofrequency ablation at low temperature is feasibility , validity and security of the treatment of OSAHS. Tongue base ablation with Plasma radiofrequency is a kind of latest, ideal treatment means to clinician. This treatment is convenient, simple, safe and minimally invasive procedure without obvious adverse reactions. In the future, there are better prospects.