药物诱导睡眠内镜检查：临床应用与手术效果
Drug-Induced Sleep Endoscopy: Clinical Application and Surgical Outcomes.
作者信息
Vito Andrea De, Cammaroto Giovanni, Chong Khai Beng, Carrasco-Llatas Marina, Vicini Claudio
机构信息
Head and Neck Department, ENT unit, Morgagni-Pierantoni Hospital, AUSL of Romagna, Forlì 47121, Italy.
Department of Otorhinolaryngology, Tan Tock Seng Hospital, 308433, Singapore.
出版信息
Healthcare (Basel). 2019 Aug 25;7(3):100. doi: 10.3390/healthcare7030100.
Abstract
The visualization of the level and pattern of apnea and hypopnea events is of pivotal importance in the diagnosis and therapeutic decision-making for sleep-disordered breathing (SDB). There are numerous techniques available to assess upper airway obstruction, which include imaging, acoustic analysis, pressure transducer recording, and endoscopic evaluation. Drug-induced sleep endoscopy (DISE) is a diagnostic tool that allows the dynamic, three-dimensional evaluation of the patterns of vibration and collapse of the upper airway of SDB patients. DISE may change the initial surgical planning in a high percentage of cases. A universally accepted and methodologically standardized DISE could provide significant insight into its role to improve surgical outcomes. However, up to now the ideal DISE protocol remains an open question.
摘要
睡眠呼吸暂停和低通气事件的水平及模式可视化对于睡眠呼吸障碍（SDB）的诊断和治疗决策至关重要。有多种技术可用于评估上气道阻塞，包括成像、声学分析、压力传感器记录和内镜评估。药物诱导睡眠内镜检查（DISE）是一种诊断工具，可对SDB患者上气道的振动和塌陷模式进行动态三维评估。DISE在很大比例的病例中可能会改变初始手术规划。一种普遍接受且方法标准化的DISE可以为其改善手术效果的作用提供重要见解。然而，到目前为止，理想的DISE方案仍然是一个悬而未决的问题。
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