低温等离子辅助改良腭咽成形联合舌减容和鼻腔扩容术对中重度OSAHS的近期疗效和安全性评价

doi:10.6040/j.issn.1673-3770.0.2016.490

Abstract

Abstract: Objective To explore the clinical efficacy, safety and value of modified uvulopalatopharyngoplasty(UPPP)versus low-temperature plasma and selective nasal cavity vasodilatation with tongue volume reduction in the treatment of moderate and severe obstructive sleep apnea hypopnea syndrome(OSAHS). Methods The clinical data of 164 patients with moderate or serious OSAHS treated during Octorber, 2013 and May, 2016 were retrospective analyzed. According to the different surgical approaches, patients were divided into two groups: the observation group(n=82)and the control group(n=82). Patients in the observation group received modified UPPP versus low-temperature plasma and selective nasal cavity vasodilatation with tongue volume reduction, while patients in the control group underwent routine UPPP and nasal cavity vasodilatation. The clinic efficacy, operative complications, postoperative relapse and other indexes of the two groups were compared. Results Six months after surgery, the general effective rate of the observation group and control group was 81.7% and 62.2%, respectively, with statistically significant difference(P<0.05). One year after surgery, the general effective rate of the observation group and control group was 75.6% 山东大学耳鼻喉眼学报31卷1期 -怀德,等.低温等离子辅助改良腭咽成形联合舌减容和鼻腔扩容术对中重度OSAHS的近期疗效和安全性评价 \=-and 51.2%, respectively, with statistically significant difference(P<0.05). Fewer complications occurred in the observation group than in the control group. Conclusion The efficacy of modified UPPP plus low-temperature plasma and selective nasal cavity vasodilatation with tongue volume reduction can produce satisfactory clinical outcome for patients with moderate or severe OSAHS.

Key words: Sleep apnea, obstructive, Uvulopalatopharyngoplasty, Tongue volume reduction, Nasal cavity expansion, Low-temperature plasma

CLC Number:

R766.7

References

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Modified UPPP with low-temperature plasma tongue volume reduction and selective nasal cavity expansion for moderate to severe OSAHS: short-term efficacy and safety evaluation.

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