低温等离子射频消融术对成人阻塞性睡眠呼吸暂停低通气综合征的治疗及其评价

发布时间：2018-06-06 22:49

本文选题：阻塞性睡眠呼吸暂停低通气综合征（OSAHS） + 低温等离子射频消融术　；参考：《福建医科大学》2013年硕士论文

【摘要】：目的:探讨低温等离子射频消融术对成人阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的治疗及其临床应用价值的评价。方法:选择我院2010年1月～2012年1月间接受低温等离子射频消融术治疗的成人中重度OSAHS患者52例（中度20例，重度32例），对患者上气道不同平面如下鼻甲、软腭、悬雍垂、扁桃体、舌根及舌体等部位进行治疗，术后随访1年，复查多导睡眠监测（PSG），比较治疗前后睡眠呼吸暂停低通气指数（AHI）、最低血氧饱和度（LSaO2），评价手术疗效。结果:手术前后AHI平均值分别为46.8±23.5和24.1±19.7，LSaO2平均值分别为68.5±20.2和79.1±15.5，术后AHI和LSaO2均较术前明显改善(P0.05)。52例患者中，，治愈7例（13.5%），显效28例（53.8%），有效14例（26.9%），无效3例（5.8%），总有效率为94.2%。结论:低温等离子射频消融术治疗成人OSAHS操作简便、安全，术中创伤小，术后痛苦小，恢复速度快，可重复进行治疗，患者容易接受；低温等离子射频消融术可对成人OSAHS患者上呼吸道不同平面进行有效的治疗，可明显改善患者的生活质量，是一种值得广泛推广的手术方式。
[Abstract]:Objective : To evaluate the treatment and clinical application value of low temperature plasma radiofrequency ablation ( RF ) ablation in adult obstructive sleep apnea .

Methods : 52 cases ( 20 cases of moderate and severe 32 cases ) were treated with low temperature plasma radiofrequency ablation between January 2010 and January 2012 . The patients were followed up for 1 year after the treatment . The patients were followed up for 1 year , the PSG were reviewed , and the effects of sleep apnea and low ventilation index ( ahi ) and minimum blood oxygen saturation ( LSaO2 ) were compared before and after treatment .

Results : Before and after operation , the mean values were 46.8 卤 23.5 and 24.1 卤 19.7 , respectively , the mean values of LSaO2 were 68.5 卤 20.2 and 79.1 卤 15.5 respectively . Among 52 patients , 7 cases ( 13.5 % ) were cured , 28 cases ( 53.8 % ) were effective , 14 cases were effective ( 26 . 9 % ) , 3 cases ( 5.8 % ) were ineffective , and the total effective rate was 94.2 % .

Conclusion : Low temperature plasma radiofrequency ablation is simple and safe in operation , small in trauma , small in postoperative pain , fast in recovery rate , and can be treated repeatedly , and the patient is easy to accept ;
Low - temperature plasma radiofrequency ablation can effectively treat upper respiratory tract and upper respiratory tract in adult patients with obstructive sleep apnea . It can obviously improve the quality of life of patients , and is a widely used surgical approach .
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R766

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