改良腭咽成形术合并多部位射频消融术手术疗效

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1、维普资讯http://www.cqvip.com中国耳鼻咽喉头颈外科12007年2月，第14卷，第2期改良腭咽成形术合并多部位射频消融术手术疗效周玫，江满杰，李泽卿，季俊峰，薛飞，王秋萍(南京军区南京总医院耳鼻咽喉头颈外科，江苏南京210002)H青要】目的探讨改良腭咽成形术合并多部位低温等离CorrespondingaUthor：JIANGManjie(Ema

2、l：子射频消融术治疗中、重度阻塞性睡眠呼吸暂停低通气jiangmjdoc@163．com)综合征(obstructivesleepapneahypo

3、pneasyndrome，[ABSTRACT]OBJECTIVEToexplorethetherapeuticOSAHS)手术疗效。方法采用改良腭咽成形术合并efectofmodifieduvulopalatopharyngoplasty(UPPP)多部位低温等离子射频消融术治疗中重度多平面阻塞combinedwithtemperature．controlledradiofrequencyOSAHS患者83例，全部随访2年以上，术后6、12、24个abIation(TCRFA)inthetreatmentof

4、moderate月复查多导睡眠图，判定疗效。结果随访2年后，83例andsevereobstructiveSIeepapneahypopnea患者中，治愈24例(28．9％)，显效28例(33．7％)，syndrome(OSAHS)．METHODSAtotaIof83patients有效17例(20．5％)，无效14例(16．9％)，总有withmoderateorsevere0SAHSwereUnderwent效率83．1％：患者手术前后睡眠呼吸暂停低通气指数modifiedUPPPcombinedwith

5、TCRFA．Allpatients(apneahypopneaindex，AHI)变化有极显著统计学werefollowed-upmorethan2years．Polysomnography差异(P<0．01)；重度OSAHS患者手术前后最低血氧wasexaminedat6months．1yearand2yearsafter饱和度(SaO2)有显著变化(P<0．05)；全部病例均operation．RESULTSThecurativerate．obvioUS未出现严重并发症。结论改良腭咽成形术合并多部位efe

6、ctiverateandefectiveratewere28．9％。33_7％低温等离子射频消融术是治疗中重度OSAHS安全、有and20．5％respectivelywithatotalefectiverateof效的方法。83．1％at2Vearsafteroperation．ThePSGshowed【关键词】阻塞性睡眠呼吸暂停低通气综合征；悬雍垂腭that，theAHIvaluesdecreasedsignificantly(P<0．01)in咽成形术；射频消融bothmoderateandsevere

7、OSAHSpatientswhilethelowestvaluesofoxygensaturation(SaO2)improvedTreatmentofmoderateorsevereobstructivesleepsignificantlyonlyinsevereOSAHSpatients(P<0．05)．apneahypopneasyndromewithmodifieduvulo-NOCOmPIiCatiOnsoccurredinallPatients．palatopharyngoplastyandtem

8、perature-controlledCONCLUSIONThemodifiedUPPPcombinedwithradiofrequencyablationTCRFAtechniqueiSanefectiveandsafemethodforZHOUMei,JIANGManjietLlZeqing,JIJunfeng,XUEthetreatmentofmoderateorsevere0SAHS．Fe-JWANGQiuping[Keywords]obstructivesleepapneahypopneasynd-

9、(DepartmentofOt0Iaryng010gyHeadandNeckrome；uvu10paIat0pharyng0pIasty：radi0frequencySurgery,NanjingCDDCDDCDDCDDGeneralHospitalofNanjingMilitaryablationCommand，PLA，Nanjing，Jiangsu，210002，China)阻塞性睡眠呼吸暂停低