低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征论文.doc

低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征论文.doc低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征论文
【摘要】探讨低温射频消融术(temperaturecontrolled radiofrequency ablation,TCRF)治疗阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS) 的疗效和手术前后生活质量的变化。方法:对50例OSAHS 患者行TCRF治疗,比较治疗前后呼吸暂停低通气指数(apnea hypopnea index,AHI)、最低血氧饱和度(lonography,PSG),50例患者中总有效43例,其中治愈19例,显效18例,有效6例,无效7例,%。++, ++。Epine the efficacy of temperature-controlled radiofrequency ablation (TCFR) for obstructive sleep apnea hypopnea syndrome (OSAHS) in adult. Methods: Some objective and subjective indexes of fifty patients ined before and after TCRF treatment. A fullnight polysomnography examination ed on all patients. The Eponths after operation. Results: Of them, 19 cases proved, 16 cases proved, and 7 cases proved. The mean apnea hypopnea index (AHI) decreased from(+)/h to (+)/h and the mean lo(+) to (+). The ESS decreased from (+) to (+) and the SAQLI increased from(+) to (+). All the above differences ent for OSAHS and can improve the healthrelated quality of life.
[KEY ) 对50例OSAHS患者进行治疗,术后从主客观方面进行疗效评价,取得较为满意的效果。
1 资料与方法
临床资料本组50例中男48例,女2例;28 52岁,;2003年8月至2006年5月因睡眠打鼾、呼吸暂停、白天嗜睡等症状于温州医学院附属第二医院就诊,经耶格SleepScreen睡眠仪(德国)行多导睡眠监测(polysomnography,PSG),按照2002杭州会议OSAHS诊断标准确诊为OSAHS[1]。术前常规行Müller试验检查明确狭窄及梗阻部位。入院后针对上呼吸道狭窄和阻塞部位行TCRF治疗。术前及术后6个月复查时均常规行整夜睡眠呼吸监测