等离子射频治疗阻塞性睡眠呼吸暂停低通气综合征疗效分析

Plasma radio-frequency ablation in treatment of obstructive sleep apnea hypopnea syndrome

目的：探讨等离子射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrome,OSAHS）的疗效。方法：采用等离子射频消融术治疗OSAHS患者38例,并回顾分析其临床资料及疗效。结果：手术时间为8～15 min,术中平均出血2～5 ml;术后6个月显效56%,有效41%,无效3%,总有效率97%;术后12个月显效53%,有效38%,无效9%,总有效率91%;术前与术后6个月、12个月的最长呼吸暂停时间、最长低通气时间、AHI、SaO2差异有统计学意义（P〈0.05）;术后6个月、12个月的最长呼吸暂停时间、最长低通气时间等差异无统计学意义。结论：等离子射频消融术由于操作简便、安全性高,是重度OSAHS患者补充治疗的主要有效方法。

Objective： To investigate the clinical effect of plasma radio-frequency in treatment of obstructive sleep apnea hypopnea syndrome（OSAHS）. Method： Thirty-eight cases of OSAHS were treated by plasma radio-frequency ablation and the clinical data of these cases were also retrospectively analyzed. Results： The operation time was 8-15 min, hemorrhage was 2-15 ml. At post-operative 6 months, 56% cases had an effect, 41% had an improvement, and 3% had no effect, and the total effective rate was 97%. At post-operative 12 months, 53% had an effect, 38% had an improvement, and 9% had no effect, and the total effective rate was 91%. The longest time of apnea, the longest time of hypopnea, the lowest Sa02 and apnea-hypopnea index were statistically significant before and after operation, but there was not a significantly different between post-operative 6 and 12 months. Conclusion： Plasma radio-frequency ablation is convenient, simple and safe for obstructive sleep apnea hypopnea syndrome.