Guan Jian, Yi Hongliang, Yu Dongzhen, Huang Yanyan, Yin Shankai
Department of Otolaryngology, and Sleep Disorders Center, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, 200233, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Aug;23(15):700-2.
To investigate lesion size caused by channel radiofrequency volumetric reduction of porcine tongue base in vitro using the technique of three-dimensional reconstruction. And to evaluate safety about channel radiofrequency volumetric reduction of tongue base.
Eighteen fresh porcine tongues were randomly separated into six groups,and each group had three ones. The tongue bases were designed six points according to description of Powell. Tongues base were acted on 10 s and 6 level by Coblation radiofrequency system and were cut into serial freezing histological sections. These segments were sectioned at 20 microm on the injury lesion and stained with H & E. Collected 2D digital imagine of order histological sections, drawn and cut apart part of the lesion of these sections. Images were processed IPS and were taken three-dimensional reconstruction and statistics analyzes with SPSS10.0.
The mean value of tongue base lesion volumes among points was (359.5 +/- 5.6) mm3, (364.3 +/- 7.0) mm, (363.7 +/- 7.2) mm3, (354.1 +/- 11.8) mm3, (349.4 +/- 17.2) mm3, (353.5 +/- 7.9) mm3 separately. Statistic analysis by one-way ANOVA showed that there was a insignificant difference between the groups (P>0.05).
These results demonstrated no significant effect lesion size in channel radiofrequency volumetric reduction in the different points of the tongue base. These data also indicated that coblation radiofrequency system is a safe method for obstructive sleep apnea hypopnea syndrome.
采用三维重建技术,在体外研究猪舌根组织射频减容术造成的组织损伤大小,并评估舌根组织射频减容术的安全性。
18个新鲜猪舌随机分成6组,每组3个。按照鲍威尔的描述,在舌根设计6个点。用低温等离子射频消融系统对舌根作用10秒,设置6个能量水平,然后将其切成连续的冷冻组织切片。这些切片在损伤病变处每隔20微米进行切片,并用苏木精和伊红染色。收集有序组织切片的二维数字图像,绘制并分割这些切片的部分病变区域。图像用IPS软件处理,并用SPSS10.0进行三维重建和统计分析。
各点舌根病变体积的平均值分别为(359.5±5.6)立方毫米、(364.3±7.0)立方毫米、(363.7±7.2)立方毫米、(354.1±11.8)立方毫米、(349.4±17.2)立方毫米、(353.5±7.9)立方毫米。单因素方差分析统计显示,各组之间差异无统计学意义(P>0.05)。
这些结果表明,舌根不同部位进行射频减容术时,病变大小无显著差异。这些数据还表明,低温等离子射频消融系统是治疗阻塞性睡眠呼吸暂停低通气综合征的一种安全方法。