低温等离子射频消融术对成人阻塞性睡眠呼吸暂停低通气综合征的治疗及其评价-耳鼻咽喉科学专业论文.docx

PAGE PAGE 10 The application and clinical effect of temperature-controlled radiofrequency ablation in the adults with obstructive sleep apnea hypopnea syndrome Abstract Objective: To investigate the effect and clinical value evaluation of temperature-controlled radiofrequency ablation in the adults with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: The medical records of 52 patients who underwent temperature-controlled radiofrequency ablation between January 2010 and January 2012 were assessed(20 moderate cases, 32 severe cases).We operated on the patients in the different upper airway plane such as inferior turbinate, soft palate, uvula, tonsils, base of the tongue and the tongue and so on. The patients were followed up for one year, who reviewed polysomnography (PSG) . We evaluate the efficacy of surgery through the sleep apnea-hypopnea index (AHI) and lowest oxygen saturation (LSaO2) before and after treatment. Results: Average AHI before and after surgery was 46.8 ± 23.5 and 24.1 ± 19.7. The average LSaO2 value was 68.5 ± 20.2 and 79.1 ± 15.5. The postoperative AHI and LsaO2 were significantly improved (P 0.05). In the 52 patients, 7 cases (13.5%) were cured, 28 cases were significant effect (53.8%), 14 cases were effective (26.9%) and 3 cases were invalid (5.8%).The total effective rate amount to 94.2%. Conclusion: The temperature-controlled radiofrequency ablation in the adults with OSAHS is simple, safety, minimally invasive treatment and pain small, fast recovery.Moreover it can be repeated treatment and was easy to accept for patients. Temperature-controlled radiofrequency ablation can be carried out on in the different upper airway plane,which can significantly improve the quality of patients life.This surgery is worthy of widespread use. Key words: obstructive sleep apnea hypopnea syndrome; temperature -controlled radiofrequency ablation; polysomnography 缩略词表（Abbreviation） OSAHS obstructive sleep apnea hypopnea syndrome 阻塞性睡眠呼吸暂停低 通气综合征