在定位和非定位阻塞性睡眠呼吸暂停的多层手术后的结果和成功预测因素
Hae E Noh1, Min-Seok Rha1,2, Yeonsu Jeong1
1Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of Korea.
概括
多层呼吸道手术在定位和非定位患者中改善了阻塞性睡眠呼吸暂停 (OSA). 许多非定位的OSA患者在手术后变得定位,每个组的成功预测指标不同.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 手术结果研究研究.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在手术管理中提出了挑战,结果因位置依赖而有所不同.
- 多层呼吸道外科手术旨在通过针对多个呼吸道阻塞部位来解决OSA.
研究的目的:
- 评估在经历多层呼吸道手术的定位和非定位OSA患者的手术结果.
- 在这些不同的患者群体中确定手术成功的预测因素.
主要方法:
- 在一个单一的三级医疗中心进行了回顾性队列研究.
- 158名患有OSA的患者被分为定位 (n=100) 和非定位 (n=58) 组.
- 两个组之间的特征和手术结果的比较.
主要成果:
- 非定位的OSA患者比定位患者更年轻,更肥胖,病情更严重.
- 两组患者的整体状况有所改善;手术成功率相似 (41.4%非定位 vs 48.0%定位).
- 69%的非定位患者在术后过渡到定位OSA. 成功的预测因素各不相同:较大的桃体,女性性别和较高的氧和在定位;较大的桃体在非定位.
结论:
- 多层呼吸道手术对定位和非定位OSA患者都有好处,诱导从非定位到定位OSA的过渡.
- 外科医生必须考虑位置依赖性和独特的成功预测因素在规划OSA的气道手术时.
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