局麻射频消融腭咽成形术与射频消融缩容术疗效比较

Comparison of the results of plasma scalpel assisted UPPP with radiofrequency volumetric tissue reduction in the treatment of obstructive sleep apnea hypopnea syndrome

目的对局麻射频消融腭咽成形术与射频消融缩容术治疗阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneahypopneasyndrome,OSAHS)的效果进行比较,为OSAHS的治疗提供客观依据。方法选用局麻射频消融腭咽成形术与射频消融缩容术分别对69例和79例OSAHS患者进行治疗,术后随访6个月和12个月,比较两种手术方法的疗效及并发症情况。结果术后6个月有效率分别为85.5%和81.0%,差异无显著性。术后12个月局麻射频消融腭咽成形术疗效优于射频消融缩容术,有效率分别为78.3%和49.3%,差异有显著性。两种手术方法均无严重并发症。结论局麻射频消融腭咽成形术较射频消融缩容术远期效果好,无严重手术并发症。在病例选择合适时用局麻方法可达到全麻手术效果。

OBJECTIVE To compare the results of plasma scalpel assisted uvulopalatopharyngoplasty（UP PP） under local anesthesia （PS） with radiofrequency volumetric tissue reduction （RF） in the treatment of obstructive sleep apnea/hypopnea syndrome （OSAHS）. METHODS Sixty-nine and 79 patients were treated with PS and RF respectively. They were followed-up for 6 and 12 months after operation and the outcomes of the 2 surgical methods were compared. RESULTS The improvement rates at 6 months after PS and RF were 85.5 % and 83.5 % respectively. There was no significant difference between the 2 methods. The improvement rates at 12 months after PS and RF were 78.3 % and 49.3 % respectively. The difference was significant. No major complication was found. CONCLUSION The long-term outcome of PS is better than that of RF. PS surgery may be comparable with surgery under general anesthesia in some special cases.