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目的:运用睡眠监测及定位系统准确定位及低温等离子手术系统外科技术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)。方法:对我院26例OSAHS患者的综合性手术方案进行回顾性研究。结果:所有患者均顺利完成手术,术中出血少,术后疼痛轻,患者术后呼吸暂停低通气指数(apnea hypopnea index,AHI)、血氧饱和度(SaO2)较术前上升明显,手术有效率达96.15%。结论:根据定位诊断,低温等离子手术系统外科技术可以单平面或同时解决鼻(下鼻甲消融)、软腭后区[等离子辅助下悬雍垂腭咽成形术(uvulopalatopharyngoplasty,UPPP)]、舌后区(舌体打孔消融)多平面阻塞,将软腭后区立体式扩宽,在明显提高手术疗效的同时,又尽可能地保留了鼻黏膜及悬雍垂的功能,有效地防止了鼻咽返流,减少了手术并发症的发生,并可以获得较好的远期疗效。
OBJECTIVE: To treat obstructive sleep apnea-hypopnea syndrome (OSAHS) by using the accurate positioning of sleep monitoring and positioning system and the surgical technique of low-temperature plasma surgical system. Methods: A retrospective study was conducted on 26 cases of OSAHS in our hospital. Results: All patients underwent successful operation with less intraoperative bleeding and less postoperative pain. The apnea hypopnea index (AHI) and oxygen saturation (SaO2) in patients were significantly higher than those before operation, Efficiency of 96.15%. CONCLUSIONS: Based on positional diagnosis, surgical techniques of low-temperature plasma surgical systems can address nasal (inferior turbinate) ablation, posterior soft palate (uvulopalatopharyngoplasty (UPPP)), posterior lingual region ( Tongue puncture ablation) multi-planar obstruction, the soft palate area three-dimensional widened significantly improve the surgical efficacy, but also try to retain the function of the nasal mucosa and uvula to effectively prevent the nasopharyngeal reflux , Reducing the incidence of surgical complications, and can obtain better long-term efficacy.