儿童药物诱导睡眠内镜检查的回顾与展望

A review and prospect of pediatric drug-induced sleep endoscopy

阻塞性睡眠呼吸暂停是一种常见的儿童睡眠呼吸障碍性疾病。虽然腺样体扁桃体切除术是儿童阻塞性睡眠呼吸暂停的一线治疗方案,但据报道仍有很多患儿在术后出现持续性的症状或体征。药物诱导睡眠内镜是近年来逐渐受到关注并迅速发展起来的一项检查技术,它可以让临床医师在模拟生理睡眠的状态下直接观察上气道塌陷情况,为患儿制定个体化治疗方案,提高手术的成功率。目前关于儿童药物诱导睡眠内镜的检查仍存在很多争议,本文的目的是对其近期的发展进行系统性的综述,以便未来进一步的研究。

Obstructive sleep apnea(OSA)is a common sleep disordered breathing disease in children.Adenotonsillectomy is the first-line treatment for pediatric OSA,but many children are reported to have persistent symptomatic or polysomnographic evidence of OSA after surgeries.Drug-induced sleep endoscopy(DISE)is an examination technique that has been gradually noticed and has significantly developed in recent years.It can allow clinicians to identify areas of collapse in the upper airway in the state of similar physiological sleep,and develop individualized treatment plans for children and improve success rates of surgical intervention.At present,there have been numerous controversies about surrounded this technique.This article aims to provide a systematic review of its recent development for further research.