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在接受横向发膜造形手术的阻塞性睡眠呼吸暂停患者中进行脑膜测量评估

Stephanie Regiane Prata Ferreira Zanco¹, Bruno Bernardo Duarte¹, Aurélio Rochael Almeida²

¹Pontifícia Universidade Católica de Campinas (PUC-Campinas), Campinas, SP, Brazil.

International archives of otorhinolaryngology

|April 15, 2024

概括

侧侧喉造形术有效治疗阻塞性睡眠呼吸暂停 (OSA). 舌骨和下平面之间的较长距离与手术前更高的呼吸暂停-呼吸暂停指数 (AHI) 相相关,但面特征没有影响手术成功.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
睡眠医学睡眠医学
面外科手术面外科手术

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 通常与缩小喉空间的面形有关.
侧侧造术 (LP) 是OSA的一种手术选择,但其成功可能受患者特定解剖学的影响.
脑膜测量提供了一种方法来量化与OSA病变发生相关的面特征.

研究的目的:

为了确定面形是否与OSA患者的多睡眠学结果较差有关.
调查手术前的头脑测量参数是否预测侧侧喉造形手术 (LP) 的手术成功.
评估面结构对LP治疗阻塞性睡眠呼吸暂停的疗效的影响.

主要方法:

评估了2015-2019年间接受LP的21名成年OSA患者的队列.
手术后的多睡眠记录是在手术后至少6个月进行的.
头脑测量分析评估了面形,并将其与多睡眠学数据和手术结果相关联.

主要成果:

在LP后观察到多睡眠呼吸参数的显著改善,呼吸暂停-呼吸暂停指数 (AHI) 显著下降,从每小时40.15事件降至16.60事件 (p=0.001).
在21名患者中,15名患者在手术后表现出AHI改善.
舌骨与下平面之间的距离较大与更高的手术前AHI (p=0.011) 相联系,但没有脑表测量与LP手术成功相关.

结论:

侧侧喉造形术是对OSA的有效治疗方法,显著改善呼吸系统参数.
虽然较大的状下平面距离表明更严重的OSA预治疗,但它不能预测LP手术结果.
在研究的OSA患者群体中,头脑测量变量似乎没有影响侧面喉膜整形术的成功.

关键词:

头脑测量仪表的使用方法头骨面部异常头骨面部异常睡眠呼吸暂停综合征是什么

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