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针对阻塞性睡眠呼吸暂停的独立跨口腔机器人手术:临床结果的系统文献综述

Konstantinos Chaidas^1,2, Stavroula Mouratidou³

¹Ear, Nose, and Throat Department, Democritus University of Thrace-Medical School, 68100 Alexandroupolis, Greece.

Life (Basel, Switzerland)

|February 27, 2026

概括

针对舌底 (BOT) 阻塞的单层横口腔机器人手术 (TORS) 改善了睡眠呼吸暂停的结果. 这种机器人手术方法对精选的阻塞性睡眠呼吸暂停 (OSA) 患者有希望,但需要更标准化的报告.

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) 显著影响患者的健康和生活质量.
跨口腔机器人手术 (TORS) 正在探索上呼吸道阻塞,特别是舌头底部 (BOT) 问题.
现有证据经常将TORS与其他程序结合起来,从而掩盖单一级TORS的结果.

研究的目的:

系统地审查客观的睡眠结果和患者报告的单一水平TORS BOT手术后的措施.
评估TORS作为特定OSA病例的独立治疗的疗效.
为了确定与TORS BOT手术相关的常见并发症.

主要方法:

进行了以PRISMA为指导的系统审查.
搜索的数据库包括PubMed,Embase和Central Cochrane,截至2025年3月.
纳入标准侧重于患有中度至重度OSA,CPAP衰竭和BOT缩的成年患者.

主要成果:

纳入了5项与105名患者的研究,主要是男性 (81.9%),平均年龄为45.2岁,BMI为28.2公斤/米2.
平均呼吸暂停-呼吸暂停指数 (AHI) 从每小时34.2事件降至14.7事件.
手术成功率各不相同 (54.2%100%),爱普沃思睡眠度量表 (ESS) 显著改善 (平均从13降至4.5).

结论:

单层TORS BOT手术显示了在精心挑选的OSA患者中改善客观和主观结果的潜力.
然而,结果报告和后续行动的异质性限制了最终的结论.
标准化结果报告和一致的后续协议对于未来的研究和临床实践至关重要.

关键词:

在OSA中使用OSA.托斯 (Tors) 是一个托尔斯的靴子舌头手术的基础是语言手术.阻塞性睡眠呼吸暂停睡眠暂停通过口腔进行机器人手术.

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