舌等离子射频打孔消融术

张庆丰; 刘得龙

doi:10.13201/j.issn.1001-1781.2014.06.008

舌等离子射频打孔消融术

张庆丰,
刘得龙^,

- 大连市中心医院耳鼻咽喉-头颈外科(大连, 116033)

详细信息

通讯作者: 刘得龙, E-mail:liudelong8688@aliyun.com

中图分类号: R563.8

收稿日期: 2013-11-20

Coblation-channelling for the tongue

ZHANG Qingfeng,
LIU Delong^,

- Department of Otorhinolarygology-Head and Neck Surgery, Dalian Municipal Central Hospital, Dalian, 116033, China

More Information

Corresponding author: LIU Delong, E-mail: liudelong8688@aliyun.com

Received Date: 20 November 2013

摘要

摘要: 目的:探讨舌等离子射频打孔消融术(CCT)治疗舌肥厚的手术方式。方法:伴有舌肥厚的重度OSAHS患者31例,所有患者舌肥厚为Friedman Ⅲ或Ⅳ度。所有患者均行鼻中隔偏曲矫正术、双侧下鼻甲等离子射频消融术及等离子射频辅助下的UPPP。对舌根及舌体行垂直进针的同时,结合侧缘平行向后的斜行进针打孔消融。对术中及术后出血等并发症进行了观察,并通过舌MRI的检查进行了12个月的术后随访。结果:术后舌后气道间隙扩大,术中有2例局部打孔处出血,经局部压迫后出血停止。术后均无舌瘫、舌血肿及脓肿形成。术后舌体由术前的Ⅲ或Ⅳ度缩小为术后的Ⅰ~Ⅱ度。1例接受了3次CCT治疗。结论:CCT治疗舌肥厚是一种体现个体化的安全、有效且微创的治疗方式。
- 等离子射频 /
- 舌 /
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性 /
- 手术
Abstract: Objective:To investigate the efficacy of Coblation-channelling for the tongue(CCT) treatment of tongue hypertrophy.Method:The 31 patients with severe obstructive sleep apnea hypopnea syndrome(OSAHS) combining tongue hypertrophy staged as Friedman Ⅲ or Ⅳ were performed CCT after nasal septum surgery, coblation channelling of bilateral inferior turbinate and coblation-assisted UPPP. While the vertical channelling in the base and the body of the tongue, the tilted one parallel side edge and posterior to the tongue were combined. The intraoperative and postoperative complications such as bleeding were observed. The 12 months postoperative follow-up were done by MRI of the tongue.Result:The retrolingual space were expanded postoperatively. The 2 bleedings occurred immediately after channellings in the tongue body, and they were stopped by local compression. No postoperative tongue paralysis, no tongue hematoma and abscess happened. The tongue sizes changed from preoperative Ⅲ or Ⅳ degree to postoperative Ⅰ to Ⅱ degrees. One case received three CCT sessions.Conclusion:CCT treatment tongue hypertrophy is a individually safe, effective and minimally invasive treatment.
- Coblation /
- tongue /
- sleep apnea-hypopnea syndrome /
- obstructive /
- surgery

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参考文献(9)

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