舌等离子射频打孔消融术
发布时间：2019-06-03 12:08
【摘要】：目的:探讨舌等离子射频打孔消融术(CCT)治疗舌肥厚的手术方式。方法:伴有舌肥厚的重度OSAHS患者31例,所有患者舌肥厚为FriedmanⅢ或Ⅳ度。所有患者均行鼻中隔偏曲矫正术、双侧下鼻甲等离子射频消融术及等离子射频辅助下的UPPP。对舌根及舌体行垂直进针的同时,结合侧缘平行向后的斜行进针打孔消融。对术中及术后出血等并发症进行了观察,并通过舌MRI的检查进行了12个月的术后随访。结果:术后舌后气道间隙扩大,术中有2例局部打孔处出血,经局部压迫后出血停止。术后均无舌瘫、舌血肿及脓肿形成。术后舌体由术前的Ⅲ或Ⅳ度缩小为术后的Ⅰ~Ⅱ度。1例接受了3次CCT治疗。结论:CCT治疗舌肥厚是一种体现个体化的安全、有效且微创的治疗方式。
[Abstract]:Objective: to investigate the surgical method of (CCT) in the treatment of tongue hypertrophy by plasma radiofrequency drilling and ablation of tongue. Methods: 31 patients with severe OSAHS with tongue hypertrophy were enrolled in this study. All patients underwent nasal septum deviation correction, bilateral inferior turbinate plasma radiofrequency ablation and plasma radiofrequency assisted UPPP. At the same time, the root of the tongue and the body of the tongue were inserted vertically, combined with the oblique needle penetration and ablation of the lateral edge parallel to the back. The complications such as intraoperative and postoperative bleeding were observed and followed up for 12 months by tongue MRI. Results: after operation, the posterior lingual airway space was enlarged. There were 2 cases of local perforation bleeding during the operation, and the bleeding stopped after local compression. There were no tongue paralysis, tongue hematomas and abscess after operation. The tongue body was reduced from grade III or IV before operation to grade 鈪，
本文编号：2491927
[Abstract]:Objective: to investigate the surgical method of (CCT) in the treatment of tongue hypertrophy by plasma radiofrequency drilling and ablation of tongue. Methods: 31 patients with severe OSAHS with tongue hypertrophy were enrolled in this study. All patients underwent nasal septum deviation correction, bilateral inferior turbinate plasma radiofrequency ablation and plasma radiofrequency assisted UPPP. At the same time, the root of the tongue and the body of the tongue were inserted vertically, combined with the oblique needle penetration and ablation of the lateral edge parallel to the back. The complications such as intraoperative and postoperative bleeding were observed and followed up for 12 months by tongue MRI. Results: after operation, the posterior lingual airway space was enlarged. There were 2 cases of local perforation bleeding during the operation, and the bleeding stopped after local compression. There were no tongue paralysis, tongue hematomas and abscess after operation. The tongue body was reduced from grade III or IV before operation to grade 鈪，
本文编号：2491927
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