阻塞性睡眠呼吸暂停综合征手术治疗的全面综述。
Comprehensive review of surgeries for obstructive sleep apnea syndrome.
机构信息
Hospital São Sebastião, Departamento de Otorrinolaringologia, Santa Maria da Feira, Portugal.
Hospital das Clínicas de Stanford, StanfordCA, EUA.
出版信息
Braz J Otorhinolaryngol. 2013 Nov-Dec;79(6):780-8. doi: 10.5935/1808-8694.20130139.
UNLABELLED
There are several surgical treatment modalities utilized for obstructive sleep apnea syndrome (OSAS). OSAS can cause excessive daytime sleepiness as well as cardiovascular morbidity and mortality. Patients who fail medical management often seek surgical treatment.
OBJECTIVE
This paper reviews surgical treatment options for obstructive sleep apnea syndrome to include original descriptions as well as outcomes for snoring, apnea-hypopnea indices, and mortality benefits.
METHOD
A literature review was performed for OSAS surgical treatment options for soft tissue and skeletal surgeries. Articles with the original descriptions and surgical reviews are included for each procedure.
RESULTS
A total of twenty-eight surgical treatment modalities for OSAS were identified. Original article authors and year of description were obtained and presented. Polysomnographic data for apnea indices, apnea-hypopnea indices and mortality are presented.
CONCLUSION
There is a large amount of variability in outcomes for sleep surgeries, however, in order to maximize success and cure rates, multiple procedures are most often necessary. Sleep surgeons must get familiar with modern surgical concepts and techniques, and participate in multi-disciplinary care in order to maximize treatment outcomes.
摘要：阻塞性睡眠呼吸暂停综合征（OSAS）有多种手术治疗方法。OSAS 可导致白天过度嗜睡以及心血管发病率和死亡率升高。经常寻求手术治疗的是那些经药物治疗无效的患者。
目的：本文综述了阻塞性睡眠呼吸暂停综合征的手术治疗方法，包括原始描述以及对打鼾、呼吸暂停-低通气指数和死亡率的获益。
方法：对软组织和骨骼手术的 OSAS 手术治疗方法进行了文献回顾。纳入了每个手术程序的原始描述和手术综述的文章。
结果：共确定了 28 种治疗 OSAS 的手术方法。给出了原始文章作者和描述年份，并呈现了呼吸暂停指数、呼吸暂停-低通气指数和死亡率的睡眠研究数据。
结论：睡眠手术的结果存在很大差异，但为了最大程度地提高成功率和治愈率，通常需要多种手术。睡眠外科医生必须熟悉现代手术概念和技术，并参与多学科治疗，以最大程度地提高治疗效果。
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