咽侧壁分层缝合联合软腭低温等离子消融治疗重度阻塞性睡眠呼吸暂停低通气综合征患者的疗效

doi:10.13481/j.1671-587x.20170332

Abstract

Abstract: Objective: To explore the feasibility and clinical efficacy of stratified suture of lateral pharyngeal wall(SSLPW) combined with soft palate radiofrequency coblation in the treatment of the patients with severe obstructive sleep apnea hypopnea syndrome(OSAHS). Methods: The clinical data of 21 severe OSAHS patients underwent lateral pharyngoplasty(LP) combined with soft palate radiofrequency coblation (LP group) and 39 severe OSAHS patients underwent SSLPW combined with soft palate radiofrequency coblation (SSLPW group) were selected.The apnea hypopnea index(AHI),lowest SaO₂(LSaO₂),Epworth sleepiness scale(ESS) scores,and related postoperative complications of the patients in two groups were analyzed before and after operation.The successful rates of operation of the patients in two were compared. Results: In LP group, 1 patient was cured (5%), 19 patients were improved markedly (90%), 1 patient was effective (5%), and no patient was invalid; the successful rate was 95.2%(20/21).In SSLPW group, 2 patients were cured (5.1%), 33 patients were improved markedly (84.6%), 4 patients were effective (10.3%), and no patients was invalid; the successful rate was 89.7%(35/39); there was no statistical difference in the successful rate of operation of the patients between two groups (P>0.05). There was statistically significant improvementof the subjective symptoms. Allthe patients returned to normal subjective swallowing functions without nasal pharyngeal reflux and dysphagia in one month follow-up after operation.Compared with before operation,the AHI and ESS scores of the patients in two groups after operation were decreased(P<0.05);the LSaO₂ scores were increased(P<0.05). Conclusion: The AHI, LSaO₂ and ESS scores are significantly improved in the OSAHS patients after treated with SSLPW combined with soft palate radiofrequency coblation. The method is a valid option for the severe OSAHS patients.

Key words: obstructive sleep apnea hpopnea syndrome, stratified suture of lateral pharyngeal wall, radiofrequency ablation

CLC Number:

WANG Weiqian, LI Jia, WANG Xi, FENG Yong, LU Yayan, ZHAO Juan, XU Jincao. Curative effect of stratified suture of lateral pharyngeal wall combined with soft palate radiofrequency coblation in treatment of patients with severe obstructive sleep apnea hypopnea syndrome[J].Journal of Jilin University Medicine Edition, 2017, 43(03): 630-634.

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Curative effect of stratified suture of lateral pharyngeal wall combined with soft palate radiofrequency coblation in treatment of patients with severe obstructive sleep apnea hypopnea syndrome

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