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醫知健:微創治鼻鼾短痛快見效
 

醫知健:微創治鼻鼾短痛快見效

年過三十、臉頰窄小和「肥胖一族」都是睡眠窒息症高危患者,上呼吸道組織嚴重阻塞呼吸道,睡眠時間歇停止呼吸,鼻鼾亦愈嚴重。本港近兩年引入微創射頻消融術,七成患者治療後鼻鼾有明顯改善。

上呼吸道組織如鼻黏膜、「吊鐘」、軟顎組織及舌頭,在睡眠時放鬆和收窄,在呼吸時產生震動,便產生鼻鼾。耳鼻喉專科醫生何峯指,當有關組織完全阻塞呼吸道時,呼吸聲和鼻鼾聲都會停,造成阻塞性睡眠窒息。「全港約有四成半人有鼻鼾,當中睡眠窒息症患者佔百分六,男性較多。」

診所可做手術

最新的微創射頻消融術,是利用插入式射頻儀器,將阻塞部位加熱至攝氏六十五至九十度,灼傷後組織形成疤痕,待身體吸收後組織變小及變硬,達至擴大呼吸道空間效果。何峯指術後一個月已見成效,「熱力程度儼如灼傷,手術可在診所進行,病人只需接受局部麻醉,術後半小時即可離開,醫療費比外科手術減九成,痛楚日數可減至六日。」

何峯承認射頻消融術功效最多維持兩年,可重複使用。本港個別公立醫院有提供,兩年來已有約六十名患者接受治療,七成人術後鼻鼾有明顯改善;約五成人願意再接受治療。「唯一缺點是射頻術只適合輕度成年患者及只有部分保險公司承保。」

 

何峯醫生 DR. HO FUNG

資料來源: 昔日太陽 12-05-2012

選文來自: 香港E大夫 / 醫大夫

 

 

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