悬雍垂腭咽成形术联合等离子射频辅助舌减容术治疗OSAHS的疗效分析

Efficacy analysis of combined radiofrequency tongue base reduction and uvulopalatopharyngoplasty for OSAHS

目的探讨悬雍垂腭咽成形术(UPPP)联合等离子辅助舌减容术(radiofrequecney tongue base reduction,RTBR)治疗Ⅱ型阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法回顾性分析2012年1月~2017年5月经多道睡眠监测(PSG)、上气道压力测定(AG200)、上气道CT确诊的OSAHS患者164例,所有患者行UPPP联合RTBR术。术后复查多道睡眠监测确定疗效。结果 137例患者术后进行了复查。复查时间为2~66个月,平均(13.37±11.95)个月。137例患者中,治愈率14.6%(20/137),显效率23.36%(32/137),有效率30.66%(42/137),总有效率为68.61%(94/137)。结论 UPPP联合RTBR术是治疗OSAHS的有效手术方法,复查率低可能导致手术疗效被低估。

ObjectiveTo evaluate the therapeutic effectof combined radiofrequency tongue base reduction （RTBR） and uvulopalatopharyngoplasty （UPPP） for the treatment of type II obstructive sleep apnea-hypopnea syndrome （OSAHS）.MethodsClinical data of 164 patients suffering from OSAHS surgically treated in our department from Jan. 2012 to May 2017 were analyzed retrospectively. The diagnosis was confirmed by polysomnography （PSG）, and the obstructive plane was determined by Apneagraph 200（AG200） and computed tomography （CT） of upper airway. All patients underwent UPPP with RFBT. Postoperative PSG was adopted to assess the treatment outcome.Results137 cases were followed up.The follow-up period ranged from 2 to 66 months with an average of （13.37±11.95）. Of the 137 cases, the cure rate was 14.6%（20/137）, significant effective rate was 23.36%（32/137）, and the effective rate was 30.66%（42/137） respectively, with an overall effective rate of 68.61%（94/137）.ConclusionsCombination of RTBR and UPPP is effective for the treatment of OSAHS. The therapeutic effect maybe underestimated in our study due to relatively low follow-up rate.