低温等离子射频辅助治疗成人OSAHS的临床研究

A retrospective study of coblation-assisted treatment in adult with obstructive sleep apnea-hypopnea syndrome

目的:总结分析低温等离子射频辅助治疗成人OSAHS的手术方法及临床疗效。方法:回顾性研究经低温等离子射频辅助治疗的894例OSAHS患者的资料,根据患者上气道阻塞的位置和性质进行定位、定性,选择不同的术式。总结分析其临床疗效、术后并发症、术前及术后睡眠监测结果和生活质量评分。结果:患者术后睡眠打鼾、憋气症状均有不同程度改善,经不同术式治疗的患者术后6个月睡眠监测结果较术前均有明显改善(P<0.01)。用SF-36健康量表评估手术前后OSAHS患者的健康状态,其社会功能、活力及精神健康维度分值均明显高于术前(均P<0.05)。18例患者术后继发出血,23例患者术后1年复发。结论:低温等离子射频辅助方法是治疗成人OSAHS行之有效的方法,可根据患者上气道阻塞的位置和性质选择不同的术式。

Objective：To investigate the therapeutic effects of 894 coblation-assisted treatment in adult with obstructive sleep apnea-hypopnea syndrome. Method： A review of 894 coblation-assisted treatment in adult with obstructive sleep apnea-hypopnea syndrome was presented with respect to the sleep monitoring results, SF-36 health questionnaire survey, therapeutic effects and complications. Result： After operation for 6 months, the pa- tients＇ sleep Monitoring results were improved remarkably （P〈0. 01） and their symptoms of snore or choke got improved. SF-36 health questionnaire survey showed that social function, energy and mental health dimension scores were significantly higher than the preoperative （P〈0.05）. There were 18 patients suffered Secondarily bleeding within 2 weeks and 23 patients recrudesced within 1 year. Conclusion： Radio frequency coblation is an ap- plicable method of therapy for patients with obstructive sleep apnea-hypopnea. The treatments differ with the obstructive location and character of upper airway.