低温等离子消融术治疗阻塞性睡眠呼吸暂停综合征的临床优势探讨

Clinical advantages of low-temperature plasma ablation for obstructive sleep apnea syndrome

目的 :探讨低温等离子消融术治疗阻塞性睡眠呼吸暂停综合征的临床优势。方法 :选择某院2012年12月至2013年10月收治的阻塞性睡眠呼吸暂停综合征患者85例作为研究对象,按照不同手术方案分为2组,采用传统手术方法的40例作为对照组,采用低温等离子消融术治疗的45例作为观察组,2组均行鼻咽同期联合手术,比较2种治疗方法的临床应用效果。结果:观察组的治疗总有效率为95.6%,略高于对照组的92.5%,但组间无显著性差异(P>0.05);观察组的手术时间、住院时间明显短于对照组,术中出血量明显少于对照组,组间均有显著性差异(P<0.05);观察组并发症发生率为4.4%,略低于对照组的10.0%,但组间无显著性差异(P>0.05)。结论:低温等离子消融术治疗阻塞性睡眠呼吸暂停综合征临床效果满意,具有操作简单、创伤小、患者恢复快的临床优势,值得临床关注。

Objective To investigate the clinical advantages of low-temperature plasma ablation for obstructive sleep apnea syndrome. Methods Totally 85 patients with obstructive sleep apnea syndrome hospitalized from December 2012 to October 2013 were selected as the subjects to go through simultaneous nasopharyngeal joint operation, of whom, 40 ones fell into a control group to undergo traditional surgery and 45 ones into an observation group to undergo low-temperature plasma ablation. The clinical effects in the two groups were compared. Results The total effectiveness rate was 95.6% in the observation group and 92.5% in the control group, and there was no significant difference between the groups （P〉0.05）. The operating time, hospital stay and intraoperative blood loss in the observation group were all statistically less then those in the control group （P〈0.05）. The complication incidence rate was 4.4% fn the observation group and 10.0% in the control group, and there was no significant difference between the groups （P〉0.05）. Conclosion Low-temperature plasma ablation gains advantages in the treatment of obstructive sleep apnea syndrome in easy operation, few invasion and quick recovery.