摘要
目的探讨射频辅助悬雍垂腭咽成形术（uvulopalatopharyngoplasty，UPPP）治疗阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome，OSAHS）的近期疗效。方法经多导睡眠监测仪（polysomnography，PSG）检查确诊为OSAHS并接受射频辅助UPPP治疗的27例病人，术前和术后6～12个月PSG资料，对最长呼吸暂停时间、最长低通气时间、呼吸暂停低通气指数（apnea-hypopnea index，AHI）、最低血氧饱和度（arterial oxygen saturation，SaO2）等指标进行对比分析。结果27例病人最长呼吸暂停时间从术前的（45．3±26．3）s下降至术后的（27．2±17．5）s；最长低通气时间从术前的（15．6±8．6）s下降至术后的（8．3±5．4）s，最低SaO2由术前的（79．3±14．4）％上升至术后的（89．7±8．2）％，AHI由术前的（19．6±6．8）％下降至术后的（7．5±6．9）％，术前和术后比较差异均有统计学意义（P〈0．01）。19例术后6个月和术后12个月比较最长呼吸暂停时间、最长低通气时间、最低SaO2和AHI相比差异均无统计学意义（P〉0．05）。结论射频辅助UPPP治疗OSAHS是一种安全有效的方法。
Objective To determine the short-term effects of coblation assisted upper-airway procedure （CAUP） for patients with obstructive sleep apnea-hypopnea syndrome （OSAHS）. Methods Patients with OSAHS confirmed by polysomnography （PSG） were chosen. PSG data of all 27 patients before CAUP and 6 to 12 months after CAUP were analyzed retrospectively. Results In 27 patients, the longest time of apnea decreased from （45.3 ± 26.3） s to （27.2 ± 17.5） s, the longest time of hypopnea decreased from （15.6 ± 8.6 ） s to （8, 3 ± 5.4 ） s, the lowest SaO2 increased from （79.3±14.4）% to （89.7±8.2）%, apnea-hypopnea index （AHI） decreased from （19.6±6.8）% to （7.5±6.9）%. The differences between data before and after operation were statistically significant （ P 〈 0.01）. In 19 patients, the differences between data of 6 months and 12 months after CAUP were statistically insignificant （ P 〉0.05）. Conclusion CAUP is a safe and effective procedure for management of OSAHS.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2006年第3期193-196,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
