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一种治疗打鼾的可吸收线缝合技术。

An absorbable thread suture technique to treat snoring.

作者信息

Kwon Jang-Woo, Kong Tae-Hoon, Ha Tae-Hyoung, Park Dong-Joon

机构信息

Department of Otolaryngology-Head and Neck Surgery, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju, Gangwon, 220-701, Republic of Korea.

出版信息

Eur Arch Otorhinolaryngol. 2016 May;273(5):1173-8. doi: 10.1007/s00405-015-3722-6. Epub 2015 Jul 11.

DOI:10.1007/s00405-015-3722-6
PMID:26162452
Abstract

We investigated a novel, minimally invasive surgery that uses an absorbable suture technique to treat snoring and mild obstructive sleep apnea. This simple procedure was developed to increase the stiffness of the soft palate and to promote uvula elevation with sutures. Thirty-five snorer and mild obstructive sleep apnea syndrome patients were included in this study. The palate was sutured with the newly developed technique. The results of our surgery were evaluated using polysomnography (PSG), the Epworth sleepiness scale (ESS), and a visual analogue scale (VAS) before surgery and 90 days after surgery. One year after surgery, telephone interviews were performed to assess patient satisfaction. Postoperative physical examinations of all patients showed increased stiffness of the soft palate and superiorly displaced uvula. These findings were consistent after the postoperative day 90. The patients' snoring symptoms and their bed partners' complaints, assessed by ESS and VAS, significantly improved compared to the pre-treatment value (p < 0.05). Additionally, the apnea-hypopnea index (AHI), assessed by PSG, was significantly improved compared to the pre-treatment value (p < 0.05). Based on the results from the telephone interviews analyzed 1 year after surgery, about 88 % of patients were satisfied with the outcome. This minimally invasive snoreplasty that uses absorbable suture material is an effective and simple procedure for treating snoring and mild obstructive sleep apnea.

摘要

我们研究了一种新型的微创手术,该手术采用可吸收缝线技术来治疗打鼾和轻度阻塞性睡眠呼吸暂停。开发这种简单的手术是为了通过缝线增加软腭的硬度并促进悬雍垂抬高。本研究纳入了35例打鼾和轻度阻塞性睡眠呼吸暂停综合征患者。采用新开发的技术对软腭进行缝合。在手术前及术后90天,使用多导睡眠图(PSG)、爱泼华嗜睡量表(ESS)和视觉模拟量表(VAS)对我们手术的结果进行评估。术后一年,通过电话访谈评估患者满意度。所有患者的术后体格检查均显示软腭硬度增加且悬雍垂上移。术后90天后这些结果保持一致。通过ESS和VAS评估,患者的打鼾症状及其床伴的抱怨与治疗前相比有显著改善(p<0.05)。此外,通过PSG评估的呼吸暂停低通气指数(AHI)与治疗前相比有显著改善(p<0.05)。根据术后1年分析的电话访谈结果,约88%的患者对手术结果满意。这种使用可吸收缝合材料的微创打鼾成形术是治疗打鼾和轻度阻塞性睡眠呼吸暂停的一种有效且简单的手术。

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引用本文的文献

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Is the remedy temporary surgical procedures in primer snoring?
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本文引用的文献

1
Long-term safety and efficacy of radiofrequency ablation in the treatment of sleep disordered breathing: a meta-analysis.射频消融治疗睡眠呼吸障碍的长期安全性和有效性:一项荟萃分析。
Eur Arch Otorhinolaryngol. 2014 Nov;271(11):2863-70. doi: 10.1007/s00405-014-2909-6. Epub 2014 Feb 8.
2
Long-term results of palatal implants for obstructive sleep apnea.腭部植入物治疗阻塞性睡眠呼吸暂停的长期疗效。
Eur Arch Otorhinolaryngol. 2011 Jul;268(7):1077-80. doi: 10.1007/s00405-011-1511-4. Epub 2011 Feb 5.
3
Patient outcomes after soft palate implant placement for treatment of snoring.
软腭植入物治疗打鼾后患者的预后。
J Otolaryngol Head Neck Surg. 2010 Aug;39(4):323-8.
4
Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults.成人阻塞性睡眠呼吸暂停的评估、管理和长期护理临床指南。
J Clin Sleep Med. 2009 Jun 15;5(3):263-76.
5
Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects.射频消融治疗打鼾患者软腭:有效性和不良反应的系统评价
Laryngoscope. 2009 Jun;119(6):1241-50. doi: 10.1002/lary.20215.
6
Effectiveness of Pillar palatal implants for snoring management.腭部支柱植入物治疗打鼾的有效性。
Otolaryngol Head Neck Surg. 2009 Mar;140(3):363-8. doi: 10.1016/j.otohns.2008.12.027.
7
Do palatal implants really reduce snoring in long-term follow-up?在长期随访中,腭部植入物真的能减少打鼾吗?
Laryngoscope. 2009 May;119(5):1000-4. doi: 10.1002/lary.20137.
8
Palate implants for obstructive sleep apnea: multi-institution, randomized, placebo-controlled study.用于阻塞性睡眠呼吸暂停的腭部植入物:多机构、随机、安慰剂对照研究。
Otolaryngol Head Neck Surg. 2008 Oct;139(4):506-10. doi: 10.1016/j.otohns.2008.07.021.
9
Palatal implants for the treatment of snoring and obstructive sleep apnea/hypopnea syndrome.用于治疗打鼾和阻塞性睡眠呼吸暂停/低通气综合征的腭部植入物。
Otolaryngol Head Neck Surg. 2008 Feb;138(2):209-16. doi: 10.1016/j.otohns.2007.10.026.
10
Extended follow-up of palatal implants for OSA treatment.用于阻塞性睡眠呼吸暂停治疗的腭部植入物的长期随访
Otolaryngol Head Neck Surg. 2007 Nov;137(5):822-7. doi: 10.1016/j.otohns.2006.12.020.