Schoen L S, Anand V K, Weisenberger S
Arch Otolaryngol Head Neck Surg. 1987 Aug;113(8):850-3. doi: 10.1001/archotol.1987.01860080056016.
The effectiveness of upper-airway surgery in treating obstructive sleep apnea was examined in 37 patients. All patients received a uvulopalatopharyngoplasty. Some also received tonsillectomies, septoplasties, and turbinectomies. The success of the operations was evaluated along three dimensions: a decrease in the number of apneas per sleep hour, a reduction in maximum nocturnal oxygen desaturation, and a decrease in daytime somnolence. Over 80% of the patients improved on at least one of these factors following surgery. However, postoperative intercorrelations among these three variables were relatively low. Furthermore, preoperative indexes of apnea severity could not be used to predict the degree of postoperative improvement.
对37例患者进行了上气道手术治疗阻塞性睡眠呼吸暂停的有效性研究。所有患者均接受了悬雍垂腭咽成形术。部分患者还接受了扁桃体切除术、鼻中隔成形术和鼻甲切除术。从三个维度评估手术的成功率：每睡眠小时呼吸暂停次数的减少、夜间最大氧饱和度降低以及白天嗜睡程度的减轻。超过80%的患者术后至少在其中一个因素上有所改善。然而，这三个变量之间的术后相互关联相对较低。此外，术前呼吸暂停严重程度指标无法用于预测术后改善程度。
