术后护理和经过阻塞性睡眠呼吸暂停的横口机器人手术后的并发症
Martin Mølhave1, Sara Svanesøe1,2, Winnie Aggerholm1
1Department of Otorhinolaryngology, Head and Neck Surgery, Gødstrup Hospital.
Danish medical journal
|January 23, 2026
概括
对于阻塞性睡眠呼吸暂停 (OSA) 的舌底缩小 (TORS-BOT) 的横腔机器人手术,经常导致手术后的消和疼痛. 需要标准化的协议来管理这些常见的并发症,并改善患者的康复.
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:
- 舌底缩小 (TORS-BOT) 的横口机器人手术有效地治疗舌底崩和舌头桃腺缩的患者的阻塞性睡眠呼吸暂停 (OSA).
- 手术后的并发症可以显著影响患者在TORS-BOT后的康复.
研究的目的:
- 评估手术后的结果,重点关注食障碍,疼痛管理和营养挑战,在接受TORS-BOT治疗OSA的丹麦队列中.
主要方法:
- 一项对40名在2022年4月至2024年9月期间在丹麦单一中心接受TORS-BOT治疗的患者进行的回顾性队列研究.
- 从电子医疗记录中提取数据,评估包括食障碍,疼痛,鼻胃管 (NGT) 使用和感染率在内的结果.
主要成果:
- 超过80%的患者出现并发症,最常见的是食障碍 (70%),通常需要NGT支持.
- 疼痛控制经常不足,导致口服摄入受损. 便秘很普遍 (68%),40%的人接受抗生素治疗,主要是吸入性肺炎.
- 住院时间中位数为3.5天,再入院率为20%,主要是由于疼痛,感染或出血.
结论:
- 手术后的消化不良,疼痛和营养问题在TORS-BOT治疗OSA后很常见.
- 需要标准化的术后方案来解决疼痛管理,消化不良干预和营养支持.
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