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阻塞性睡眠呼吸障碍的现代外科诊疗理念 被引量:6

Modern surgical treatment for obstructive sleep disordered breathing
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摘要 阻塞性睡眠呼吸障碍是一种常见病,诸如颅颌骨畸形、肥胖、上气道周围组织占位(如腺样体、扁桃体肥大等)和上气道开放肌群功能障碍、呼吸中枢调节或驱动障碍等都会导致该病。手术是一种主要、有效的治疗手段,但并不是所有患者都适合手术治疗。对于手术治疗,严格掌握手术指征和适应证是关键之一,治疗需根据患者的病因、上气道狭窄或阻塞位置、性质、严重程度、患者状况和意愿设计,即实行个体化治疗。 [Summary] Obstructive sleep disordered breathings(OSDB) are common diseases.There are many factors contributing to OSDB,anatomic changes such as craniomaxillofacial deformities,obesity,adenoid and tonsil hypertrophy;and upper airway dilator muscles dysfunction or central respiratory drive dysfunction,etc.Surgical treatment is useful and efficient for many OSDB patients,but not all.It is very important to master the indications of surgical treatment.The patients need an individual protocol which depends on pathogenesis,narrow or obstructive regions and severe degree,patient's heath conditions and aspiration,etc.
出处 《中国口腔颌面外科杂志》 CAS 2012年第1期72-77,共6页 China Journal of Oral and Maxillofacial Surgery
关键词 阻塞性睡眠呼吸障碍 上气道重建 外科减肥 功能保护 综合序列治疗 Obstructive sleep disordered breathing Upper airway reconstruction Bariatric surgery Function preservation Comprehensive and sequential therapy
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