关键词: 睡眠呼吸暂停低通气综合征, 阻塞性, H-UPPP, 低温等离子, 消融技术, 微创

Abstract:

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 EIC5874 blade were applied to H-UPPP surgery, the thick soft palate, uvula and palatopharyngeal muscle were conducted RFCA with EIC4855 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 HUPPP surgery under low temperature is distinguished by less bleeding, small trauma, and with the pharyngeal cavity structure and function preserved.

Key words: sleep apnea hypopnea syndrome, obstructive, H-UPPP, low temperature plasma, ablation technology, minimally invasive