射频等离子刀治疗阻塞性睡眠呼吸暂停综合征的临床分析

Clinical analysis on coblator plasma surgery curing obstructive sleep apnea syndrome

目的阻塞性睡眠呼吸暂停综合征(OSAS)的外科治疗有多种,等离子刀(CPS)及悬雍垂腭咽成形术(UPPP)已被临床采用,本文分析了二者在临床应用的情况,以便选择最佳的治疗途径。方法选择经PSG监测AHI为10-40、SaO2>0.87的轻、中度OSAS患者各30例,分为两组。分析两组病人的近期效果、手术方法及并发症。结果两组病人的近期效果基本相近,总有效率都达到70%以上。结论二组手术适应证要选择适当,以轻、中度的病人为佳,重症病人二者的治疗效果均不佳。手术组有一定的危险性及并发症,而CPS组无明显并发症,且操作简单,值得推广。CPS组的远期效果有待于进一步观察。

Objective There are many surgical ways to cure obstructive sleep apnea syndrome （OSAS）, among them, coblator plasma surgery （CPS） and uvulopalatopharyngoplasty （UPPP） have been used in clinic. This article analyses the application state of the two ways, so as to select the best. Methods 30 cases of light and middle OSAS patients whose AHI were monitoring by recent cure result, surgical operation and complication. PSG for 10-40 and divided into two groups. Analyzed Results Recent curing result in two groups of patients were almost the same, total effective rate reached over 70%. Conclusion Selecting appropriately the patients which are suitable for operation is very important, and cure effect of light and middle patients are the best. There is certain danger and complication in surgery group, but there is no obvious complication in CPS group. Furthermore CPS operation is simple and worth to promote.