同期UPPP联合舌根射频术治疗OSAHS

Tongue base radiofrequency combined with uvulopalatopharyngoplasty for OSAHS

目的:探讨同期悬雍垂腭咽成形术(UPPP)联合舌根射频消融术治疗重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法:对34例重度OSAHS患者行纤维喉镜检查并结合Müller试验,确定阻塞同时存在口咽及舌咽平面。同期先行UPPP,再将舌根行等离子低温射频消融术。于术后6个月、1年观察疗效。结果:术后舌根体积明显缩小,术后6个月、1年经多导睡眠监测(polysomnography,PSG)复查AHI均明显低于术前(P<0.01),最低SaO2均明显高于术前(P<0.01)。按照杭州会议标准,术后6个月总有效率为100.00%,术后1年总有效率为91.18%。结论:同期UPPP联合舌根射频消融术,治疗口咽及舌咽平面同时阻塞的重度OSAHS患者,是一种见效快且持久的治疗方案。

Objective：To investigate the effect of tongue base radiofrequency ablation （RFA） combined with uvulopalatopharyngoplasty（UPPP） for severe obstructive sleep apnea hypopnea syndrome （OSAHS）. Methods： The obstruction in both the oropharynx and the hypopharynx were determined by fiberoptic pharyngolaryngoscopy and Mtiller examination in 34 patients with severe OSAHS. All the patients accepted tongue base RFA plus UPPP. Results： The tongue base significantly reduced postoperatively, the apnea hypopnea index（AHI） was remarkably lower , and the minimum SaO2 was remarkably higher（ P 〈 0.001） 6 months and 1 year after treatment. The response rotes were 100.00% （6-month） and 91.18% （ 1-year ）. Conclusion： Tongue base RFA combined with UPPP is effective for severe OSAHS.