低温双极射频消融术在多平面阻塞性睡眠呼吸暂停低通气综合征的应用.pdfVIP

10 WESrCHINAMEDICALJOURNAI2008．Vo1．23．No．1 CN51—1356／R [文章编号]1002—0179 (2008)01—0010—02 低温双极射频消融术在多平面 阻塞性睡眠呼吸 Application ofLow—temperatureBipolarRadiofrequencyAblationonPafien~ with 暂停低通气综合征的应用 MultilevelObstructiveSleepApnea——bypopneaSyndrome 彭洪，尹金淑，姬巍，王瑞通 PENG Hong，YINJin—shu，JIW ei，etal。 (北京世纪坛医院耳鼻咽喉一头颈外科，北京 100038) (DepartmentofOtolar?~golog)HelmandNeckSurgery，雎 ShijitanHospital，＆ 凡g100038，China) 摘要：目的：探讨低温双极射频消融技术治疗多平面阻塞性睡眠呼吸暂停低通气综合征 (obstructivesleepap． nea—hyF~pneasyndrome，OSAHS)的价值。方法 ：对67例多平面OSAHS患者采用低温双极射频消融治疗 ，根据术 前 、术后症状改善情况及多导睡眠监测 (polysomnography，PSG)结果的比较判定疗效。结果：67例患者中治愈21 例 ，显效 22例，有效 l5例，无效9例，总有效率86．57％。术前与术后 1年AHI和SaO2结果经t检验 ，差异有显 著性 (P0．01)。所有病例均无并发症发生。结论 ：低温双极射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征 (OSAHS)疗效肯定 ，特别是同期治疗多平面阻塞安全可靠，具有独特的优势。 关键词 ：低温；射频消融；睡眠呼吸暂停低通气综合征 [中图分类号]R767．13 [文献标志码]A Abstract：Objective： observethecurativeeffectfromthelow—temperaturebipolarradiofrequeneyablationfRFA)on multilevelobstructivesleepapnea—hypopneasyndromefOSAHS)．Me~ods：Sixty—sevencasesofmultilevelOSAHSwere treatedbyRFA therapy．Thetherapeuticoutcomewasevaluatedthrough symptomsandtheresultsofpre—andpost—operative polysonmography(PSG)．Results：Twenty—oneof67caseswerecured，other22wereimprovedsignificantly，other15were improved，9casesleftwereunimproved．Thetotalefficiencyratewas86．57％．Theapnea—hypopneaindex(AHI)andthe oxygensaturation(Sao_2)ofpre—andpost—operationwerecomparedbyttest，respectivelywithstatisticallysignificnatdiffer— ences(P0．O1)．Conclusion：RFAwasasafenadrelibaleinstrument，hadhteadvantagesespeciallyintreatingpatientswith OSAHSwithmultilevelobstructionsimuhaneously． Keywords：low —temperature；bipol~；radioffequencyablation；multilevel；obstructive sleep apnea— hytx)pne