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題名 | 阻塞性睡眠呼吸中止症之手術介入評估--病例報告=Evaluation of Obstructive Sleep Apnea with Surgery Intervention--A Case Report |
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作者 | 楊濡瑄; 鄭世榮; 楊濡瑄; Yang, Ju-hsuan; Cheng, Shih-jung; Yang, Ju-Hsuan; |
期刊 | 臺灣口腔顎面外科學會雜誌 |
出版日期 | 20160600 |
卷期 | 27:2 2016.06[民105.06] |
頁次 | 頁127-134 |
分類號 | 416.95 |
語文 | chi |
關鍵詞 | 阻塞性呼吸中止症; 睡眠呼吸障礙手術; 阻塞性呼吸治療; 頦成形術; Obstructive sleep apnea; Sleep apnea surgery; Obstructive sleep apnea treatment; Genioplasty; |
中文摘要 | 睡眠呼吸障礙主要是指在睡眠中反覆發生呼吸頻率中止,導致缺氣以及睡眠中斷,依據病因目前可分為中樞性睡眠呼吸中止、阻塞性睡眠呼吸中止以及混合性睡眠呼吸中止。其中,阻塞性睡眠呼吸病大多為呼吸道部分阻塞或狹窄所導致,肥胖、大舌頭、下顎明顯後縮等因素亦會加劇病症,會造成息者整日精神不濟、嗜睡、有不耐煩或是脾氣暴躁致血壓居高不下等情況,更甚者會導致心血管、呼吸道等嚴重併發症。阻塞性睡眠呼吸中止症的治療方式包含調整生活型態以及睡姿、減重、呼吸器輔助、口內裝置穿戴或是手術介入…等,而手術方式亦有許多不同,可以依據導致阻塞性呼吸中止症的原因做評估和介入,本病例即為使用懸壅垂腭咽成形術及頓成形術將頓舌骨肌向前拉伸,增加氣道空間以期許改善呼吸中止的問題,將此病例之術前評估、術式以及術後狀況予以提出討論,可列入未來類似病症治療之參考。 |
英文摘要 | Sleep apnea syndrome indicates that hypoxemia or interruption of sleep caused by repetitive cessation of breathing due to obstruction of the upper airway during sleep. The syndrome is etiologically classified as central sleep apnea, obstructive sleep apnea and mixed sleep apnea. Obstructive sleep apnea caused by partial obstruction or abnormal narrowing of airway, and the condition such as obesity, macroglossia, skeletal malocclusion class II and so on may deteriorate the symptom. Sleep apnea increased probability of impaired daily concentration, hypersomnolence, impatience or hypertension induced by irritability, and is also related to adverse clinical outcomes, including cardiovascular disease, respiratory complications, etc. Treatment of obstructive sleep apnea includes behavior and sleeping posture adjustment, weight reduction, association with positive airway pressure ventilator, oral appliance or surgical intervention. Actually, a variety of surgical techniques are developed for the different obstructive reasons of airway. In our case, we used uvulopalatopharyngoplasty, tonsillectomy and genioplasty to advance the geniohyoid muscle and enlarge the airway space trying to improve the sleep apnea. The case is shared for the discussion of the pre- operation evaluation, surgical technique criteria and post-operation caring. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。