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目的:探讨用低温等离子射频消融术(RFA)和口腔矫治器(OA)综合治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效和OA的不良反应。方法:对21例OSAHS患者按阻塞平面分型,分别采用RFA或(和)OA治疗。治疗前做PSG检查,摄头颅侧位片,制作牙模Ⅰ。治疗后3个月,作PSG评价疗效;治疗后14～24个月,摄X线头颅侧位片和制作牙模Ⅱ,与治疗前对比测量。结果:治疗后PSG参数减小,X线头颅侧位片测量骨骼无明显改变,牙模测量牙咬合改变。结论:RFA和OA综合治疗OSAHS效果良好。
Objective: To investigate the curative effect and adverse reactions of OA combined with low temperature plasma radio frequency ablation (RFA) and oral appliance (OA) in the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: Twenty-one patients with OSAHS were classified according to the obstruction plane and treated with RFA or (and) OA respectively. PSG examination before treatment, according to the cranial flaps, making dental mold Ⅰ. Three months after treatment, PSG was used to evaluate the curative effect; 14 to 24 months after treatment, radiographs of X-ray cephalograms and dental prostheses were made, which were compared with those before treatment. Results: After treatment, the PSG parameters were reduced. No significant changes were found in the bones of X - ray cephalometric slices. Conclusion: The combined treatment of OSAHS with RFA and OA is effective.