悬雍垂腭咽成形术疗效术前预测因素分析

Analysis of the preoperative predictive factors of Uvulopalatopharyngoplasty

阻塞性睡眠呼吸暂停(OSA)是一种常见的睡眠相关呼吸障碍,若不及时治疗,可导致心血管系统、神经系统等方面的损害。除了选择持续气道正压通气(CPAP)作为治疗方式外,多数OSA患者选择基于解剖阻塞部位进行手术治疗。悬雍垂腭咽成形术(UPPP)是临床最常用的术式之一。结合近期文献从术前评估各种数据中综合分析可能的预测因素,筛选出较明确的预测因素,将有利于构建高效的预测系统,具体化UPPP手术的适应证及禁忌证。

Obstructive sleep apnea(OSA)is a common sleep-related respiratory disorder.If left untreated,it can lead to cardiovascular and nervous system damage.In addition to continuous positive airway pressure(CPAP),most OSA patients have surgical treatment based on the anatomical obstruction.Uvulopalatopharyngoplasty(UPPP)is the most common procedure performed.This paper reviews the current research on the preoperative evaluation of UPPP,summarizes possible predictors,and screens out more specific predictive factors.The aim is to construct a more efficient predictive system,specify the indications and contraindications of UPPP surgery.