低温等离子射频辅助治疗成人OSAHS的临床研究

吴云文; 张庆丰

doi:10.13201/j.issn.1001-1781.2015.01.019

低温等离子射频辅助治疗成人OSAHS的临床研究

吴云文,
张庆丰^,

- 大连市中心医院耳鼻咽喉头颈外科(辽宁大连, 116033)

详细信息

通讯作者: 张庆丰,E-mail:zxyyebh@163.com

中图分类号: R563.8

收稿日期: 2014-10-17

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

WU Yunwen,
ZHANG Qingfeng^,

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

More Information

Corresponding author: ZHANG Qingfeng, E-mail: zxyyebh@163.com

Received Date: 17 October 2014

摘要

摘要: 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。
- 低温等离子射频 /
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性
Abstract: 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 patients' 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 applicable method of therapy for patients with obstructive sleep apnea-hypopnea. The treatments differ with the obstructive location and character of upper airway.
- radio frequency /
- sleep apnea-hypopnea syndrome /
- obstructive

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