Application of Low-temperature Bipolar Radiofrequency Ablation on Patients withMultilevel Obstructive Sleep Apnea-hypopnea Syndrome_West China Medical Journal

Authors：

PENG Hong , YIN Jinshu , JI Wei , et al.

Department of Otolaryngology Head and Neck Surgery，Beijing Shi jitan Hospital，Beijing 100038，China;

Corresponding author：

Keywords：

低温; 射频消融; 睡眠呼吸暂停低通气综合征

Video：

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摘要：目的：探讨低温双极射频消融技术治疗多平面阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome，OSAHS）的价值。方法：对67例多平面OSAHS患者采用低温双极射频消融治疗，根据术前、术后症状改善情况及多导睡眠监测（polysomnography，PSG）结果的比较判定疗效。结果：67例患者中治愈21例，显效22例，有效15例，无效9例，总有效率86.57%。术前与术后1年AHI和SaO2结果经t检验，差异有显著性(P＜0.01)。所有病例均无并发症发生。结论：低温双极射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）疗效肯定，特别是同期治疗多平面阻塞安全可靠，具有独特的优势。

Citation： PENG Hong,YIN Jinshu,JI Wei,et al.. Application of Low-temperature Bipolar Radiofrequency Ablation on Patients withMultilevel Obstructive Sleep Apnea-hypopnea Syndrome. West China Medical Journal, 2008, 23(1): 10-11. doi: Copy

1.	[1]中华医学会耳鼻咽喉科分会,中华耳鼻咽喉科杂志编委会.阻塞性睡眠呼吸暂停低通气综合征诊断依据和疗效评定标准暨悬壅垂腭咽成形术适应证（杭州）[Ｊ].中华耳鼻咽喉科杂志,2002,37(6):4.
2.
3.	[2]中华医学会呼吸病学分会睡眠呼吸疾病学组.阻塞性睡眠呼吸暂停低通气综综合征诊治指南（草案）[Ｊ].中华结核和呼吸杂志，2002,37（6）：195-198.
4.	[3]Li KK,Powell NB,Riley RW,et al.Radiofrequency volumetric tissue reduction for treatment of turbinate hypertrophy:a pilot study[J].Otolaryngol Head Neck Surg,1998,119(6):569-573.
5.	[4]Powell NB,Riley RW,Troell RJ,et al.Radiofrequency volumetric reduction of the palate in subjects with sleep-disordered breathing[J].Chest,1998,113:1163-1174.
6.	[5]Powell NB,Riley RW,Guilleminault C.Radiofrequency tongue base reduction in sleep-disordered breathing:a pilot study[J].Otolaryngol Head Neck Surg,1999,120(5):656-664.
7.	[6]纪维纲，姜小兵.双极射频等离子舌根缩容术[J].临床耳鼻咽喉科杂志，2002，16（7）：363-364.
8.	[7]薛海涛，刘志明，王奎吉，等.双极射频等离子手术系统消融治疗慢性鼻炎60例[J].临床耳鼻咽喉科杂志，2003，17（11）：690.
9.	[8]王鹏举，李仁济，罗鸿，等.等离子射频消融治疗阻塞性睡眠呼吸暂停低通气综合征[J].临床耳鼻咽喉科杂志，2004，18（9）：561-562.
10.	[9]Steward DL.Effectiveness of multilevel(tongue and palate)radiofrequency tissue ablation for patients with obstructive sleep apnea syndrome[J].Laryngoscope,2004,114(12):2073-84.
11.	[10]Pazos G,Mair EA.Complications of radiofrequency ablation in the treatment of sleep-disordered breathing[J].Otolaryngol Head Neck Surg,2001,125(5):462-467.
12.	-404.

1. [1]中华医学会耳鼻咽喉科分会,中华耳鼻咽喉科杂志编委会.阻塞性睡眠呼吸暂停低通气综合征诊断依据和疗效评定标准暨悬壅垂腭咽成形术适应证（杭州）[Ｊ].中华耳鼻咽喉科杂志,2002,37(6):4.
2.
3. [2]中华医学会呼吸病学分会睡眠呼吸疾病学组.阻塞性睡眠呼吸暂停低通气综综合征诊治指南（草案）[Ｊ].中华结核和呼吸杂志，2002,37（6）：195-198.
4. [3]Li KK,Powell NB,Riley RW,et al.Radiofrequency volumetric tissue reduction for treatment of turbinate hypertrophy:a pilot study[J].Otolaryngol Head Neck Surg,1998,119(6):569-573.
5. [4]Powell NB,Riley RW,Troell RJ,et al.Radiofrequency volumetric reduction of the palate in subjects with sleep-disordered breathing[J].Chest,1998,113:1163-1174.
6. [5]Powell NB,Riley RW,Guilleminault C.Radiofrequency tongue base reduction in sleep-disordered breathing:a pilot study[J].Otolaryngol Head Neck Surg,1999,120(5):656-664.
7. [6]纪维纲，姜小兵.双极射频等离子舌根缩容术[J].临床耳鼻咽喉科杂志，2002，16（7）：363-364.
8. [7]薛海涛，刘志明，王奎吉，等.双极射频等离子手术系统消融治疗慢性鼻炎60例[J].临床耳鼻咽喉科杂志，2003，17（11）：690.
9. [8]王鹏举，李仁济，罗鸿，等.等离子射频消融治疗阻塞性睡眠呼吸暂停低通气综合征[J].临床耳鼻咽喉科杂志，2004，18（9）：561-562.
10. [9]Steward DL.Effectiveness of multilevel(tongue and palate)radiofrequency tissue ablation for patients with obstructive sleep apnea syndrome[J].Laryngoscope,2004,114(12):2073-84.
11. [10]Pazos G,Mair EA.Complications of radiofrequency ablation in the treatment of sleep-disordered breathing[J].Otolaryngol Head Neck Surg,2001,125(5):462-467.
12. -404.

West China Medical Journal

Application of Low-temperature Bipolar Radiofrequency Ablation on Patients withMultilevel Obstructive Sleep Apnea-hypopnea Syndrome

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