Clinical predictors for successful uvulopalatopharyngoplasty in the management of obstructive sleep apnea.
Clinical predictors for successful uvulopalatopharyngoplasty in the management of obstructive sleep apnea.
复制标题
DOI：
10.1155/2013/290265
复制
发表时间：
2013
影响因子：
--
通讯作者：
Pampoori RA
中科院分区：
文献类型：
--
作者：
Yousuf A;Beigh Z;Khursheed RS;Jallu AS;Pampoori RA
客观的。评估术前和术后多导睡眠图记录的成功悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的临床参数。材料和方法。研究小组对 50 名通过整晚多导睡眠图诊断为 OSA 的患者进行了临床评估，并根据弗里德曼分期系统进行了分期。考虑了体重指数和颈围，并使用 Muller 操作进行视频内窥镜检查以记录梗阻部位。研究组分为手术组和非手术组。然后从 50 名患者中选出 22 名进行悬雍垂腭咽成形术。手术组的选择主要基于临床参数，如颈围、患者的弗里德曼分期和部位、和/或患者的梗阻程度。术后六个月进行术后多导睡眠监测以记录 AHI 评分的变化。结果。研究组由 50 名患者组成，平均年龄为 44.4 ± 9.3 岁。 UPPP 在 22 例中完成，按照术前 AHI 降低 50% 且术后 AHI < 20/h 定义的手术结果为 95.2%。间隔 6 个月后 AHI 的术后变化具有统计学意义，P 值 < 0.001。结论。 UPPP 是根据弗里德曼分期和通过 Muller 操作视频内窥镜检测到的阻塞部位来适当选择的患者治疗阻塞性睡眠呼吸暂停综合征的理想选择。
Objective. To assess the clinical parameters for successful uvulopalatopharyngoplasty in the management of obstructive sleep apnoea syndrome documented with pre- and postoperative polysomnography. Materials and Methods. A study group of 50 patients diagnosed as having OSA by full night polysomnography were assessed clinically and staged on basis of Friedman staging system. BMI and neck circumference were considered, and videoendoscopy with Muller's maneuver was done in all to document the site of obstruction. The study group divided into surgical and nonsurgical ones. Twenty-two patients out of fifty were then selected for uvulopalatopharyngoplasty. The selection of surgical group was done primarily on basis of clinical parameters like neck circumference, Friedman stage of the patient and site, and/or level of obstruction of patient. Postoperative polysomnography was done six months after surgery to document the change in AHI score. Result. The study group consists of fifty patients with mean age of 44.4 ± 9.3 years. UPPP was done in twenty-two, and the result of the surgery as defined by 50% reduction in preoperative AHI with postoperative AHI < 20/h was seen to be 95.2%. Postoperative change in AHI done after 6-month interval was seen to be statistically significant with P value < 0.001. Conclusion. UPPP is ideal option for management of obstructive sleep apnoea syndrome in properly selected patients on the basis of Friedman stage and site of obstruction detected by videoendoscopy with Muller's maneuver.