法国耳鼻喉科学会指南。耳鼻喉科专家在儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）诊断中的作用。第 2 部分：除睡眠研究外的诊断研究。
Guidelines of the French Society of Otorhinolaryngology. Role of the ENT specialist in the diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS) in children. Part 2: Diagnostic investigations apart from sleep studies.
机构信息
Service d'ORL et de chirurgie cervico-faciale, hôpital Morvan, université de Bretagne Occidentale, CHRU Brest, 29200 Brest, France.
Service d'ORL et de chirurgie cervico-faciale, hôpital Morvan, université de Bretagne Occidentale, CHRU Brest, 29200 Brest, France.
出版信息
Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Sep;136(4):295-299. doi: 10.1016/j.anorl.2019.05.016. Epub 2019 Jun 13.
OBJECTIVES
To present the 2017 Clinical Practice Guidelines of the French Society of Otorhinolaryngology concerning the role of the ENT specialist in the diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome. This manuscript specifically focuses on diagnostic investigations apart from sleep studies.
METHODS
A multidisciplinary work-group drew up a first version of the guidelines, graded according to level of evidence following the GRADE grading system. The final version was obtained by including the suggestions and comments from the editorial group.
RESULTS
At the end of the process, guidelines were established and graded regarding diagnostic investigations apart from sleep studies, in particular respiratory functional tests, biological markers, and morphologic assessment under induced sleep (drug-induced sleep endoscopy (DISE) and cine-MRI).
目的
介绍法国耳鼻喉科学会 2017 年关于耳鼻喉科专家在儿童阻塞性睡眠呼吸暂停低通气综合征诊断中作用的临床实践指南。本文件专门针对除睡眠研究以外的诊断研究。
方法
一个多学科工作组根据 GRADE 分级系统，按照证据水平制定了指南的初稿。最终版本是通过纳入编辑组的建议和意见获得的。
结果
在整个过程结束时，制定了并分级了除睡眠研究以外的诊断研究的指南，特别是呼吸功能测试、生物标志物以及诱导睡眠下的形态评估（药物诱导睡眠内镜检查（DISE）和电影 MRI）。
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