Bridgman S A, Dunn K M
Epidemiology, ICHRC, Keele University School of Postgraduate Medicine, Thornburrow Drive, Hartshill, Stoke-on-Trent, Staffordshire, UK, ST4 7QB.
Cochrane Database Syst Rev. 2000(2):CD001004. doi: 10.1002/14651858.CD001004.
Obstructive sleep apnoea is the periodic reduction (hypopnoea) or cessation (apnoea) of airflow during sleep. The syndrome is associated with loud snoring, disrupted sleep and observed apnoeas. Beside conservative treatments there are a range of 8 broad categories of operative treatments for this condition. Surgical treatments aim to relieve the obstruction by either increasing the surface area
Surgery for obstructive sleep apnoea aims to relieve the obstruction by increasing the surface area of the airway, bypassing the pharyngeal airways or removing a lesion. The objective of this review was to assess the effects of any type of surgery for the treatment of obstructive sleep apnoea.
We searched the Cochrane Airways Group trials register and reference lists of articles. We contacted experts in the field, research dissemination bodies and other Cochrane Review Groups.
Randomised and quasi-randomised trials comparing any surgical intervention for obstructive sleep apnoea with other surgical or non-surgical interventions for obstructive sleep apnoea or no intervention.
No completed trials were identified.
No studies fulfilled the inclusion criteria.
REVIEWER'S CONCLUSIONS: There is an urgent need for high quality randomised controlled trials to be carried out in the field of surgery for obstructive sleep apnoea. More research should also be undertaken to identify and standardise techniques to determine the site of airways obstructions.
阻塞性睡眠呼吸暂停是指睡眠期间气流的周期性减少（呼吸浅慢）或停止（呼吸暂停）。该综合征与大声打鼾、睡眠中断和观察到的呼吸暂停有关。除了保守治疗外，针对这种情况还有8大类手术治疗方法。手术治疗旨在通过增加表面积来缓解阻塞。
阻塞性睡眠呼吸暂停的手术旨在通过增加气道表面积、绕过咽部气道或切除病变来缓解阻塞。本综述的目的是评估任何类型的手术治疗阻塞性睡眠呼吸暂停的效果。
我们检索了Cochrane气道组试验注册库和文章的参考文献列表。我们联系了该领域的专家、研究传播机构和其他Cochrane综述组。
将阻塞性睡眠呼吸暂停的任何手术干预与阻塞性睡眠呼吸暂停的其他手术或非手术干预或不干预进行比较的随机和半随机试验。
未识别出已完成的试验。
没有研究符合纳入标准。
迫切需要在阻塞性睡眠呼吸暂停手术领域开展高质量的随机对照试验。还应进行更多研究，以确定和标准化确定气道阻塞部位的技术。
