폐쇄성 수면무호흡증 환자에서 구개수구개인두 성형술의 결과평가 및 예측 변수에 관한 고찰

• 영문명: Measuring and Predicting Success of Uvulopalatopharyngoplasty in Obstructive Sleep Apnea Patients
• 발행기관: 대한수면의학회
• 저자명: 박영학 박소영
• 간행물 정보: 『수면정신생리』제3권 제1호, 31~37쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1996.06.30

영문 초록

Uvulopalatopharyngoplasty(UPPP) is an operation that is frequently performed for the patient of obstructive sleep apnea(OSA). A major problem has been to select those patients who will have a good response to UPPP. We compared preoperative and postoperative polysomnography(PSG) in 20 patients to evaluate the success rate of the operation. Each subject underwent a cephalometric roentgenogram, and fiberoptic nasopharyngoscopy with Mueller maneuver was applied in roentgenogram and fiberoptic nasopharyngoscopy with Mueller maneuver was applied in preop evaluation of patients with OSA. No PSG parameter could accurately predict the changes in sleep after UPPP. There were no significant differences between the responders and the nonresponders concerning the cephalometric analysis, the type of obstruction by Mueller maneuver, and body mass index(BMI). The conclusions of this study are thus that UPPP is an effective treatment for the OSAS with a high success rate, but that there is no single useful parameter predicting the success of the operation.

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수면무호흡증 구개수구개인두성형술 수면다원검사 Obstructive sleep apnea Uvulopalatopharyngoplasty Polysomnography