低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征.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            低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征    2008-5-911:47:57                                                    【摘要】 探讨低温射频消融术(temperaturecontrolledradiofrequencyablation,TCRF)治疗阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneahypopneasyndrome,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(apneahypopneaindex,AHI)、最低血氧饱和度(lowestarterialoxygeonsaturation,LSaO2)、Epworth嗜睡评分(EpworthSleepinessScale,ESS)和Calgary生活质量指数(CalgarySleepApneaQualityofLifeIndex,SAQLI),从主、客观方面对TCRF治疗OSAHS进行疗效评价。结果:术后6个月复查多导睡眠监测(polysomnography,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,%。++,++。++,++,差异均有统计学意义(P值均<)。结论:TCRF是治疗OSAHS的有效方法,可提高OSAHS患者的生活质量。    【关键词】 睡眠呼吸暂停低通气综合征阻塞性等离子射频消融生活质量       [ABSTRACT] Objective:heefficacyoftemperature-controlledradiofrequencyablation(TCFR)forobstructivesleepapneahypopneasyndrome(OSAHS):(ESS)andtheCalgarysleepapneaqualityoflifeindex(SAQLI):Ofthem,19caseswerecured,18casesweresignificantlyimproved,16caseswereimproved,(AHI)de