在阻塞性睡眠呼吸暂停中喉崩模式的批判性分析:超越内镜分类系统
Andrea De Vito1,2, Ewa Olszewska3, Bhik Kotecha4
1ENT Unit, Department of Surgery, Ravenna-Lugo Hospitals, Health Local Agency of Romagna, 48121 Ravenna, Italy.
Journal of clinical medicine
|January 11, 2024
概括
药物诱导睡眠内镜 (DISE) 有助于阻塞性睡眠呼吸暂停 (OSA) 治疗选择. 然而,标准化的DISE方法和分类系统仍在争论中,这影响了外科手术结果的预测.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 手术研究的研究.
背景情况:
- 药物诱导睡眠内镜 (DISE) 在睡眠期间提供动态上呼吸道 (UA) 可视化.
- DISE对于定制阻塞性睡眠呼吸暂停 (OSA) 治疗,特别是手术干预至关重要.
- 目前的国际共识缺乏普遍接受的DISE方法和分类系统.
研究的目的:
- 审查关于DISE的科学文献,重点关注内镜分类系统和外科预测结果.
- 确定关于DISE方法及其预测价值的标准化和共识的当前状态.
主要方法:
- 英语科学文学的系统综述.
- 包括标准集中在DISE,内镜分类和手术结果预测上.
- 从最初的105个项目中分析了47个相关文章.
主要成果:
- 目前没有普遍接受的DISE报告和评分分类系统.
- 最常见的DISE分类系统并不包括所有观察到的同时发生的上呼吸道事件.
- 对于治疗决策,需要详细描述DISE期间的各种崩模式.
结论:
- 缺乏标准化的DISE方法,这阻碍了其在OSA手术治疗选择中的作用.
- 目前的分类系统不足以捕捉DISE期间上呼吸道阻塞的复杂性.
- 在DISE中观察到的所有崩模式的全面文档对于其在手术决策和结果预测中的实用性至关重要.
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