在患有阻塞性睡眠呼吸暂停症的患者中,跨口腔机器人舌头基底手术的有效性
Berkay Serifoglu1,2, Sercan Evginer3,4, Mehmet Akdag4
1Erzincan Binali Yıldırım University Mengücek Gazi Education And Research Hospital Otorhinolaryngology, Head and Neck Surgery Department, 24050, Erzincan, Turkey. kunterberkay@gmail.com.
概括
通过口腔机器人手术减少舌头底部是阻塞性睡眠呼吸暂停 (OSA) 的可行和有效治疗方法. 这种手术方法显著改善了睡眠研究结果,并减少了与OSA相关的健康风险.
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) 是一种常见的疾病,在睡眠期间重复出现上呼吸道崩.
- 舌头底部缩和缩是导致OSA的重要因素,通常需要手术干预.
- 传统的手术方法在解决复杂的呼吸道阻塞方面可能存在局限性.
研究的目的:
- 评估跨口腔机器人手术 (TORS) 的可行性,发病率和疗效,以进行舌根切除 (TBR).
- 评估TORS-TBR与其他呼吸道外科手术相结合,用于OSA患者的舌根问题.
- 在这个患者队列中确定手术成功的预测因素.
主要方法:
- 一项前性观察队列研究,涉及110名患有中度至重度或定位性OSA的成年患者.
- 患者在失败或拒绝保守疗法后接受了TORS-TBR,并确认了后舌/下喉阻塞.
- 排除标准包括禁忌,口腔不充分打开,以及手术后缺乏多睡眠记录.
主要成果:
- 所有110名患者完成了TORS-TBR,不需要气管切除术;平均住院时间为8.5天.
- 在多睡眠学参数中观察到显著的改善,包括呼吸暂停-呼吸暂停指数 (AHI) 和氧和.
- 通过特定标准定义的手术成功,在73.6%的患者中实现.
结论:
- 横口机器人舌头底部手术,当与多层次的呼吸道干预相结合时,是OSA的可行和有效的早期治疗方法.
- 这种个性化的方法显著提高了多睡眠图的结果.
- 该程序有助于减少与OSA相关的发病率和死亡率.
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