射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征临床观察

Clinical observation on treatment for obstructive sleep apnea-hypopnea syndrome(OSAHS) with soft palate radiofrequency catheter ablation

目的探讨射频消融术对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效及安全性。方法选择57例OSAHS患者行软腭射频消融术,观察术中及术后主要反应。并于术前、术后6个月及术后1年行多导睡眠监测。结果术中仅轻微疼痛及吞咽不适,术后无明显并发症发生,包括出血、感染、组织糜烂,未出现腭咽闭合不全,无发音和吞咽障碍。所有患者于术后1周基本恢复正常。6个月内总有效率为93%。结论温控射频消融术是治疗OSAHS的一种安全有效方法,与其他外科手术一样,随着时间延长,其疗效减弱,但由于射频消融术的微创特性,患者易于接受再次手术,从而改善打鼾症状。

Objective To explore the therapeutic effect and salty of treatment for obstructive sleep apnea - hypopnea syndrome（OSAHS）with soft palate radiofrequency catheter ablation. Methods All 57 cases were operated on uvula, soft palate and/or tonsil with coblator plasma surgery arid were examined by polysomnogTaphy preoperative and postoperative. Results The 6 - months responders were 93.0% respectively. None cases suffered from serious complications such as pharyngeal secondary hemorrhage, iufection, pharyngeal paraesthesia, velopharyngeal inadequacy, stomatolalia. All the patients recovered well within 1 week postoperatively . Conclusions The radiofrequency catheter ablation to treat OSAHS is an effective and safe method , but like other operations on OSAHS, the therapeutic effeets weakens as time goes on , but the patients are prone to be reoperated due to the minimal invasive feature of radiofrequeney catheter ablation.