数字X线评价低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征的 临床疗效

目的:探讨颅咽部数字X线指数对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者行低温射频消融手术治疗效果的评价作用。方法:选择2013年10月-2015年10月在我院接受低温射频消融术的OSAHS患者74例作为研究组,另选择同期在我院接受体检的健康志愿者44例作为对照组。分别于手术前后采用X线测量两组研究对象的上齿槽座角(SNA)、下齿槽座角(SNB)、上下齿槽座角(ANB)、颌上角(NA/PA);舌根后方气道前后径(PAS)、软腭后方气道横径(U-MPW)、会厌层气道前后径(V-LPW)、后鼻棘-咽顶点距(PNS-R)、舌骨最上缘至下颌骨垂直距离(H-MP)、软腭长度(SPL)、软腭厚度(SPT)以及舌骨至颈椎前平面距(H-CVP)。结果:研究组患者ANB,NA/PA,PAS,U-MPW,PNS-R及H-CVP均大于对照组,差异具有统计学意义(P0.05);两组SNA、SNB、V-LPW、H-MP、SPL及SPT比较,差异无统计学意义(P0.05);与术前相比,研究组患者术后ANB、PAS、U-MPW及H-CVP均明显改善,差异具有统计学意义(P0.05)。结论:颅咽部数字X线测量指数能够较好的评价OSAHS患者行射频消融术的治疗效果,值得临床参考。

Clinical Efficacy of Low Temperature Radiofrequency Ablation in the Treatment of Obstructive Sleep Apnea Hypopnea Syndrome

Objective:To investigate the digital X-ray indexes on the evaluation of clinical effects of patients with obstructive sleep apnea hypopnea syndrome (OSAHS) who had taken the temperature-controlled radiofrequency ablation.Methods:74 patients with OSAHS who were treated in our hospital from October 2013 to October 2015 were selected as the research group, and 44 healthy volunteers who had received the physical examination in our hospital were chosen to be the control group. Then the SNA, SNB, ANB, NA/PA, PAS, U-MPW, V-LPW, PNS-R, H-MP, SPL, SPT and H-CVP were measured by X-ray before and after operation.Results:The ANB, PNS-R, NA/PA, PAS, U-MPWand H-CVP in the research group were significantly higher than those of the control group, and the difference was statistically significant (P<0.05); There was no statistically significant difference about the SNB, SNA, V-LPW, H-MP, SPL and SPT between the two groups (P>0.05); Compared with before operation, the ANB, PAS, U-MPWand H-CVP in the research group significantly improved after operation, and the difference was statistically significant (P<0.05).Conclusion:The digital X-ray can better evaluate the therapeutic effect of radiofrequency catheter ablation for patients with OSAHS, which is worthy of clinical application.