CAJ | 학술논문

目的:探讨低温等离子铺助下行H-UPPP手术,肥厚软腭、悬雍垂及腭咽肌射频消融治疗重度OSAHS的疗效.方法:回顾分析经PGS监测、阻塞平面在口咽部的60例重度OSAHS患者,用EIC5874刀头的融切功能行H-UPPP手术,对肥厚软腭、悬雍垂及腭咽肌用EIC4855刀头射频消融.结果:患者术后口咽腔左右、前后径扩大,咽腔结构、功能完整.术后6~12月随访并行PGS监测,AHI值下降、LSaO2升高差异有统计学意义(P<0.01).患者主观症状改善,有效率达到91.7%.结论:OSAHS的外科治疗方法多种多样,对于阻塞平面在口咽部的重度OSAHS患者,等离子铺助下H-UPPP手术,具有出血少、创伤小,又能保留咽腔结构及功能的有效治疗.
목적:탐토저온등리자포조하행H-UPPP수술,비후연악、현옹수급악인기사빈소융치료중도OSAHS적료효.방법:회고분석경PGS감측、조새평면재구인부적60례중도OSAHS환자,용EIC5874도두적융절공능행H-UPPP수술,대비후연악、현옹수급악인기용EIC4855도두사빈소융.결과:환자술후구인강좌우、전후경확대,인강결구、공능완정.술후6~12월수방병행PGS감측,AHI치하강、LSaO2승고차이유통계학의의(P<0.01).환자주관증상개선,유효솔체도91.7%.결론:OSAHS적외과치료방법다충다양,대우조새평면재구인부적중도OSAHS환자,등리자포조하H-UPPP수술,구유출혈소、창상소,우능보류인강결구급공능적유효치료.
Objective:To study plasma assisting H-UPPP surgery under low temperature, and the therapeutic effect of RFCA of the hypertrophy of the soft palate, uvula and palatopharyngeal muscle treating severe OSAHS. Methods:Sixty cases of severe OSAHS with blocking plane in oropharynx under PGS monitoring were retrospectively analyzed. The melt-cut function of EIC 5874 blade were applied to H-UPPP surgery, the thick soft palate, uvula and palatopharyngeal muscle were conducted RFCA with EIC 4855 blade. Results: Postoperative patient's oropharyngeal cavity around, before and after were enlarged, the pharyngeal cavity structure, and function were complete. PGS monitoring were conducted to the postoperative 6 and 12 months follow-up, AHI values dropped, LSaO2 had statistical significance (P<0.01). Patients with subjective symptoms were improved, effective rate reached 91.7%. Conclusion:The surgical treatment of OSAHS is varied. For patients with severe OSAHS with the blocking plane in the oropharynx, plasma assiting H-UPPP surgery under low temperature is distinguished by less bleeding, small trauma, and with the pharyngeal cavity structure and function preserved.