阻塞性睡眠呼吸暂停的多层次3D手术:它可能是未来吗?
Angelo Eplite1, Claudio Vicini2, Giuseppe Meccariello2
1Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Via GB Grassi 74, 20154 Milan, Italy.
Journal of clinical medicine
|July 14, 2023
概括
这项研究引入了一种用于多级阻塞性睡眠呼吸暂停 (OSA) 的新型3D手术方法,利用先进的可视化和合技术进行有效的呼吸道管理. 该程序证明了在治疗OSA患者的安全性和效率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 手术技术 手术技术
背景情况:
- 阻塞性睡眠呼吸暂停 (obstructive sleep apnea,OSA) 是一种普遍存在的睡眠障碍,其特点是睡眠期间上呼吸道阻塞.
- 呼吸道崩在OSA中经常是多层次的,需要全面的手术策略.
- 目前对OSA的手术干预往往缺乏先进的可视化和多层次的整合.
研究的目的:
- 描述一种新的3D手术环境,用于多层次阻塞性睡眠呼吸暂停 (OSA) 治疗.
- 引入创新的外科手术技术,包括4K-3D内镜和外镜可视化.
- 评估这种综合3D手术方法的安全性和有效性.
主要方法:
- 七名患有OSA的患者接受了3D刺重置耳膜整形手术 (BRP).
- 程序包括横口合,舌头底部缩小和同时进行鼻腔手术.
- 使用4K-3D内镜检查舌头底部,使用3D外镜检查口腔.
主要成果:
- 在任何病人身上都没有观察到手术内,手术后或延迟并发症.
- 平均3D系统设置时间为12.5±2.3分钟.
- 整体手术时间高效,平均为59.3±26分钟,在不到2小时内完成.
结论:
- 4K-3D内镜和外镜系统为多层次的OSA手术提供了一个很好的方法.
- 与机器人手术相比,这种技术显示了减少手术时间和成本的潜力.
- 描述的3D手术设置为复杂的OSA病例提供了安全有效的选择.
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