摘要
目的:探讨低温等离子铺助下行H-UPPP手术,肥厚软腭、悬雍垂及腭咽肌射频消融治疗重度OSAHS的疗效。方法:回顾分析经PGS监测、阻塞平面在口咽部的60例重度OSAHS患者,用EIC5874刀头的融切功能行H-UPPP手术,对肥厚软腭、悬雍垂及腭咽肌用EIC4855刀头射频消融。结果:患者术后口咽腔左右、前后径扩大,咽腔结构、功能完整。术后6~12月随访并行PGS监测,AHI值下降、LSa O2升高差异有统计学意义(P〈0.01)。患者主观症状改善,有效率达到91.7%。结论:OSAHS的外科治疗方法多种多样,对于阻塞平面在口咽部的重度OSAHS患者,等离子铺助下H-UPPP手术,具有出血少、创伤小,又能保留咽腔结构及功能的有效治疗。
Objective: To study plasma assisting H-UPPP surgery under low temperature, and the therapeutic effect of RFCA of the hypertrophy of the soft palate, uvula and palatopharyngeal muscle treating severe OSAHS. Methods: Sixty cases of severe OSAHS with blocking plane in oropharynx under PGS monitoring were retrospectively analyzed. The melt-cut function of EIC5874 blade were applied to H-UPPP surgery, the thick soft palate, uvula and palatopharyngeal muscle were conducted RFCA with EIC4855 blade. Results: Postoperative patient's oropharyngeal cavity around, before and after were enlarged, the pharyngeal cavity structure, and function were complete. PGS monitoring were conducted to the postoperative 6 and 12 months follow-up, AHI values dropped, LSa02 had statistical significance (P〈0.01). Patients with subjective symptoms were improved, effective rate reached 91.7%. Conclusion: The surgical treatment of OSAHS is varied. For patients with severe OSAHS with the blocking plane in the oropharynx, plasma assiting H- UPPP surgery under low temperature is distinguished by less bleeding, small trauma, and with the pharyngeal cavity structure and function preserved.
出处
《大理学院学报(综合版)》
CAS
2015年第4期38-40,共3页
Journal of Dali University