2种等离子手术方式治疗OSAHS的临床疗效观察

发布时间：2018-02-13 18:33

本文关键词： 阻塞性睡眠呼吸暂停低通气综合征悬雍垂腭咽成形术低温等离子射频消融多导睡眠监测　出处：《重庆医学》2015年07期 　论文类型：期刊论文

【摘要】：目的观察比较2种等离子射频消融手术方式对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效,明确2种等离子射频消融手术的优劣。方法将48例OSAHS患者分为两组,研究组26例,全身麻醉下行等离子刀打孔消融术合并腭咽成形术;对照组22例,局部麻醉下行等离子刀射频打孔消融术,术后随访12个月,比较两组患者的临床疗效。结果两组患者近期总有效率比较差异无统计学意义(P0.05),而研究组远期总有效率显著高于对照组(P0.05)。术后6、12个月,两组患者魁北克睡眠问卷(QSQ)5个维度分值和总分分值、Epworth嗜睡量表(ESS)评分、呼吸暂停低通气(AHI)指数及最低动脉血氧饱和度(LSaO2)均较术前改善,但研究组改善更明显,两组比较差异有统计学意义(P0.05)。结论两组患者近期疗效无明显差异,全身麻醉下等离子刀打孔消融术加改良腭咽成形术远期临床疗效明显优于局部麻醉下行等离子刀射频打孔消融术。
[Abstract]:Objective to observe and compare the clinical efficacy of two kinds of plasma radiofrequency ablation (RFA) in patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods 48 patients with OSAHS were divided into two groups. Twenty-six patients in the study group were treated with plasma-knife ablation combined with palatopharyngoplasty under general anesthesia, and 22 patients in the control group were treated with radiofrequency radiofrequency ablation under local anesthesia and followed up for 12 months. Results there was no significant difference in the short-term total effective rate between the two groups, but the long-term total effective rate in the study group was significantly higher than that in the control group (P 0.05). The scores of QSQ5 dimension and total score of QSQESS, AHII and LSaO2 were improved in both groups, but the improvement was more obvious in the study group. Conclusion there is no significant difference in short-term curative effect between the two groups. The long term clinical effect of plasma knife ablation combined with modified palatopharyngoplasty under general anesthesia was significantly better than that of plasma knife radiofrequency ablation under local anesthesia.
【作者单位】：湖北省荆州市中心医院耳鼻咽喉头颈外科;
【分类号】：R766.9

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