Phan Nga T, Wallwork Benjamin, Panizza Benedict
Aust Fam Physician. 2016 Aug;45(8):574-8.
Obstructive sleep apnoea (OSA) is a complex disease process that involves collapse of the upper airway during sleep and subsequent reduction or cessation of airflow. Continuous positive airway pressure (CPAP) is the primary treatment for OSA and is the recommended first-line treatment for patients with moderate-to-severe forms of the disease. However, some patients are unable to tolerate CPAP or are unwilling to accept it as a form of permanent management. In these cases, surgical management aimed at addressing anatomical obstruction may be useful and warranted.
This article presents an overview of the surgical options available for OSA. The review also describes a useful approach for selecting appropriate patients for surgery.
On the basis of an OSA model that accounts for observed increased risk of stroke, cardiovascular disease and motor vehicle accidents, there is evidence to support that surgery is beneficial and cost-effective for patients with severe OSA who are intolerant of CPAP. There are many surgical options available for OSA.
阻塞性睡眠呼吸暂停（OSA）是一种复杂的疾病过程，涉及睡眠期间上呼吸道塌陷以及随后气流减少或停止。持续气道正压通气（CPAP）是OSA的主要治疗方法，也是中重度该疾病患者推荐的一线治疗方法。然而，一些患者无法耐受CPAP或不愿意接受其作为一种长期治疗方式。在这些情况下，旨在解决解剖学梗阻的手术治疗可能有用且必要。
本文概述了可用于OSA的手术选择。该综述还描述了一种为手术选择合适患者的有用方法。
基于一个考虑到观察到的中风、心血管疾病和机动车事故风险增加的OSA模型，有证据支持手术对于不耐受CPAP的重度OSA患者有益且具有成本效益。有许多手术选择可用于OSA。
