阻塞性睡眠呼吸暂停患者的口腔横向机器人手术:当前实践的系统文献综述
Stavroula Mouratidou1, Konstantinos Chaidas2,3
1ENT Department, Guys' and St Thomas' NHS Foundation Trust, London SE1 9RT, UK.
Life (Basel, Switzerland)
|January 8, 2025
概括
透口机器人手术 (TORS) 通过缩小舌头底部和/或上管来有效治疗阻塞性睡眠呼吸暂停 (OSA). 本次审查强调TORS是安全的选择,尽管需要进一步的研究来选择患者并获得最佳的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 机器人手术 机器人手术
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 显著影响患者的生活质量.
- 对于中度至重度的OSA病例,考虑进行外科手术.
- 透口机器人手术 (TORS) 为上呼吸道阻塞提供了一种最少的侵入性方法.
研究的目的:
- 系统地审查目前的实践和TORS对OSA的挑战.
- 为了提供一个最新的概述的TORS技术的舌头底部和表关节手术.
- 评估TORS在OSA管理中的安全性和可行性.
主要方法:
- 在2022年12月之前对PubMed和Embase数据库进行系统审查.
- 在研究选择和数据提取方面遵循了PRISMA指南.
- 从32篇文章 (2546名患者) 中分析了手术技术,手术期间的措施,术后管理和并发症.
主要成果:
- TORS经常是OSA多层次手术方法的一部分.
- 鼻腔内输管是首选的麻醉方法.
- 常见的并发症包括消化不良和出血;没有报告死亡.
结论:
- 对于具有舌头底部/表皮塞阻塞的选择性OSA患者来说,TORS是一种安全和可行的手术选择.
- 需要对患者选择标准和切除组织体积的标准化.
- 建议进一步调查手术后ICU监测的必要性.
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