文章摘要
李晶 赵武 刘影 唐晓芙 王素娟.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[J].,2016,16(16):3083-3085
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
Clinical Efficacy of Low Temperature Radiofrequency Ablation in theTreatment of Obstructive Sleep Apnea Hypopnea Syndrome
  
DOI:
中文关键词: 阻塞性睡眠呼吸暂停低通气综合征  数字X 线  低温射频消融术
英文关键词: OSAHS  Digital X-ray  Radiofrequency catheter ablation
基金项目:辽宁省科技厅计划项目(2013226012)
作者单位
李晶 赵武 刘影 唐晓芙 王素娟 辽宁中医药大学附属四院放射科辽宁中医药大学附属四院心血管内科辽宁中医药大学附属四院电诊科辽宁中医药大学附属四院肿瘤科 
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中文摘要:
      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(P<0.05);两组 SNA、SNB、V-LPW、H-MP、SPL 及SPT 比较,差异无统计学意义(P>0.05);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(P<0.05)。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。
英文摘要:
      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.
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