等离子射频治疗舌源性阻塞性睡眠呼吸暂停低通气综合征

Radiofrequency abiation treatment for lingual root obstructive sleep apnea-hypopnea syndrome

目的:探讨等离子射频消融术(radiofrequency abiation,RFA)治疗舌源性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的效果。方法:采用RFA治疗34例舌源性OSAHS患者,术前及术后1年进行PSG监测评价治疗效果。结果:患者手术前AHI(20.74±12.23)次/h,术后降至(12.23±8.31)次/h,差异有统计学意义(P<0.01)。34例患者,治愈7例(20.59%),显效10例(29.41%),有效12例(35.29%),无效5例(14.71%),总有效率为85.29%。结论:RFA舌根部分切除术辅助其他治疗能明显提高手术效果,且安全、简便、并发症少,是治疗OSAHS的有效辅助治疗方法。

Objective： To treat OSAHS with radiofrequency ablation and evaluate the effect. Method： Thirty four patients with mild and median OSAHS were treated with functional endoscopic sinu surgery, UPPP and RFA. The follow up time was 1 year. PSG was used for diagnosis and evaluation of pre-- and post--operation. Result：AHI of 34 patients reduced from （20.74 ±12.23）/h to （12.23±8.31）/h （P〈0.01）. Effective rate was 85.29%. Conclusion： RFA is an effective, safe and simple assitant therapy for OSAHS.