{"id":1082,"date":"2017-01-11T10:00:37","date_gmt":"2017-01-11T02:00:37","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=1082"},"modified":"2017-05-04T14:42:24","modified_gmt":"2017-05-04T06:42:24","slug":"%e9%81%94%e6%96%87%e8%a5%bf%e6%a9%9f%e6%a2%b0%e4%ba%ba%e6%89%8b%e8%a1%93%e5%9c%a8%e7%9d%a1%e7%9c%a0%e5%91%bc%e5%90%b8%e4%b8%ad%e6%ad%a2%e7%97%87%e4%b8%8a%e7%9a%84%e9%81%8b%e7%94%a8","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=1082","title":{"rendered":"\u3010\u8033\u9f3b\u5589\u79d1\u3011\u9054\u6587\u897f\u6a5f\u68b0\u4eba\u624b\u8853\u5728\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u4e0a\u7684\u904b\u7528"},"content":{"rendered":"

\u6587\/\u8033\u9f3b\u5589\u79d1 \u66f9\u5091\u6f22 \u4e3b\u6cbb\u91ab\u5e2b<\/h4>\n

\u00a0 \u00a0 \u00a0\"\"\u5f9e1970\u5e74\u4ee3\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7(OSAS)\u88ab\u6b63\u540d\u5f8c\uff0c\u624b\u8853\u6cbb\u7642\u6b64\u75c7\u4e00\u76f4\u662f\u500b\u6311\u6230\uff1b1980\u5e74\u81f3\u4eca\uff0c\u4ee5\u54bd\u984e\u6574\u578b\u8853(UPPP)\u70ba\u4e3b\u6d41\u624b\u8853\u8fd130\u5e741<\/sup>\uff0c\u7136\u6210\u6548\u4e0d\u5f70\u4e4b\u8ffd\u8e64\u6587\u737b\u9678\u7e8c\u88ab\u63d0\u51fa\u3002\u76f4\u5230\u8fd13\u5e74\uff0c\u591a\u5c64\u6b21\u624b\u8853\u7684\u89c0\u5ff5\u8207\u7761\u7720\u5167\u8a66\u93e1\u6aa2\u67e5\u7684\u51fa\u73fe\uff0c\u5df2\u77e5\u9053\u9700\u5c07\u9f3b\u8154\u3001\u53e3\u8154\u3001\u820c\u6839\u90e8\u7684\u963b\u585e\u8655\u6253\u901a\uff0c\u5426\u5247\u7121\u6cd5\u6709\u6548\u7684\u6cbb\u7642\u3002<\/p>\n

\u7531\u65bc\u820c\u6839\u90e8\u4f4d\u53ef\u4f9b\u624b\u8853\u90e8\u4f4d\u72f9\u9698\uff0c\u7121\u660e\u986f\u7684\u89e3\u5256\u6027\u6307\u6a19\u52a0\u4e0a\u5bc6\u4f48\u7684\u8840\u7ba1\uff0c\u4e00\u65e6\u51fa\u8840\u91cf\u5927\uff0c\u6050\u6709\u7a92\u606f\u7684\u53ef\u80fd\uff0c\u662f\u624b\u8853\u90e8\u4f4d\u4e2d\u6700\u56f0\u96e3\u9054\u6210\u7684\u3002\u4ee4\u4eba\u6eff\u610f\u7684\u7d50\u679c\u5728\u8fd13\u5e74\u7684\u91ab\u5b78\u5c08\u696d\u671f\u520a\u51fa\u73fe\uff0c\u4e5f\u4ee3\u8868\u4e86\u5916\u79d1\u624b\u8853\u6cbb\u7642OSAS\u6709\u4e86\u9577\u8db3\u7684\u9032\u5c55\u3002<\/p>\n

\u7b2c\u4e00\u4f8b\u4f7f\u7528\u9054\u6587\u897f\u624b\u8853\u6cbb\u7642\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u59cb\u65bc2008\u5e74\uff0c2012\u5e74Friedmen \u6bd4\u8f03\u4e09\u7a2e\u76ee\u524d\u4e3b\u6d41\u7684\u820c\u6839\u7e2e\u6e1b\u624b\u88532<\/sup>\uff0c\u6210\u529f\u7387\u4f9d\u6b21\u70ba\u7d93\u53e3\u9054\u6587\u897f\u624b\u8853(60.5%)\u3001\u9ecf\u819c\u4e0b\u5c0f\u50b7\u53e3\u820c\u6839\u5207\u9664\u624b\u8853(submucosal minimal invasive lingual excision)(37%)\u8207\u820c\u6839\u5c04\u983b\u624b\u8853(radiofrequency to base of tongue)(32%)\uff0c\u4ee5\u9054\u6587\u897f\u624b\u8853\u7684\u6210\u529f\u7387\u6700\u9ad8\u3002\u4e4b\u5f8c\u7d93\u6b50\u7f8e\u3001\u4e9e\u6d32\u591a\u4f4d\u91ab\u5e2b\u7684\u52aa\u529b\u4e26\u767c\u8868\u6210\u679c\u5f8c\uff0c\u7f8e\u570bFDA\u65bc2014\u5e74\u8a8d\u53ef\u9054\u6587\u897f\u6a5f\u68b0\u624b\u81c2\u6cbb\u7642\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u70ba\u6b63\u5f0f\u624b\u8853\u30022014\u5e74\u7fa9\u5927\u5229\u5e15\u7dad\u4e9e\u5927\u5b78\u7684Vicini\u91ab\u5e2b\u6574\u5408\u5168\u4e16\u754c\u81ea2012\u5e74\u81f32014\u5e74\u5171201\u540d\u500b\u68483<\/sup>\uff0c\u767c\u8868\u4e86\u7cfb\u7d71\u6027\u56de\u9867\u5831\u544a\uff0c\u6307\u51fa\u9054\u6587\u897f\u624b\u8853\u53ef\u4f7f53.8%\u7684\u60a3\u8005\u812b\u96e2\u967d\u58d3\u547c\u5438\u5668\uff0c\u7d2f\u7a4d\u6210\u529f\u7387\u905466.9%\u3002\u81f3\u6b64\uff0c\u4ee5\u9054\u6587\u897f\u624b\u8853\u6cbb\u7642OSAS\u65b9\u8b02\u53ef\u884c\u3002<\/p>\n

\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u7684\u5371\u5bb3<\/span><\/p>\n

2013\u5e74\u4ee5\u8272\u5217\u7d22\u7f85\u5361\u5927\u5b78\u7684Tarasiuk\u535a\u58eb\uff0c\u767c\u8868\u4e86\u95dc\u65bc\u963b\u585e\u578b\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u5c0d\u7d93\u6fdf\u5f71\u97ff\u7684\u5831\u544a4<\/sup>\u3002\u6307\u51fa\u672a\u7d93\u6cbb\u7642\u7684OSAS\u53ef\u80fd\u6703\u589e\u52a0\u4e00\u500d\u7684\u91ab\u7642\u8cc7\u6e90\u6d88\u8017\uff0c\u800c\u91dd\u5c0d\u6700\u56b4\u91cd\u524d\u4e09\u5206\u4e4b\u4e00\u7684OSAS\u60a3\u8005\u4f86\u6cbb\u7642\uff0c\u80fd\u6709\u6548\u6e1b\u5c11\u91ab\u7642\u4fdd\u5065\u7cfb\u7d71\u958b\u652f\u3002\u5e74\u8f15\u7537\u6027OSAS\u7684\u91ab\u7642\u82b1\u8cbb\u662f\u6b63\u5e38\u7537\u6027\u76849.1\u500d\uff0c\u4e3b\u8981\u82b1\u5728\u9577\u671f\u670d\u7528\u964d\u8840\u8102\u85e5\u7269\u4e0a\uff1b\u4e2d\u5e74\u7537\u6027\u7f79\u60a3\u91cd\u5ea6OSAS\u7684\u91ab\u7642\u82b1\u8cbb\u70ba\u6b63\u5e38\u4e2d\u5e74\u7537\u6027\u76847.4\u500d\uff0c\u4e3b\u8981\u5728\u82b1\u5728\u5fc3\u8840\u7ba1\u85e5\u7269\u4e0a\u3002\u8001\u5e74\u7537\u6027\u8207\u5973\u6027\u65cf\u7fa4\u5247\u591a\u82b1\u4e865.6\u500d\u5728\u6297\u7126\u616e\u85e5\u3001\u5b89\u7720\u85e5\u3001\u5fc3\u8840\u7ba1\u85e5\u7269\u3002<\/p>\n

2008\u5e74\u4e00\u4efd\u8ffd\u8e64\u671f\u9577\u905418\u5e74\u7684\u5a01\u65af\u5eb7\u8f9b\u4e16\u4ee3\u7814\u7a76\u6307\u51fa\uff0c\u91cd\u5ea6\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u653e\u4efb\u672a\u6cbb\u7642\uff0c18\u5e74\u5f8c\u7684\u5b58\u6d3b\u7387\u5c11\u65bc6\u62105<\/sup>\u30022004\u5e74\u5bc6\u897f\u6839\u5dde\u7acb\u5927\u5b78\u7684\u97cb\u5f17\u6559\u6388\u91dd\u5c0d\u8d85\u904e1\u842c\u540d\u9000\u4f0d\u8ecd\u4eba\u65cf\u7fa4\u9032\u884c\u9577\u90546\u5e74\u7684\u8ffd\u8e64\u5831\u544a\u6307\u51fa6<\/sup>\uff0c\u672a\u6cbb\u7642\u7684\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\uff0c6\u5e74\u5f8c\u7684\u6b7b\u4ea1\u7387\u589e\u52a030%\uff0c\u4e0a\u8ff0\u7814\u7a76\u5747\u6307\u51fa\u9700\u52a0\u5f37\u5c0dOSAS\u7684\u6cbb\u7642\uff0c\u4ee5\u6e1b\u5c11\u516c\u5171\u8cc7\u6e90\u7684\u640d\u8017\u8207\u5ef6\u9577\u58fd\u547d\uff0c\u907f\u514d\u6b98\u75be(\u5fc3\u8840\u7ba1\u75be\u60a3\uff0c\u5c24\u5176\u4e2d\u98a8)\u6210\u70ba\u5bb6\u5ead\u8207\u793e\u6703\u7684\u8ca0\u64d4\u3002\u6b64\u5916\uff0c\u4e5f\u5c0d\u967d\u58d3\u547c\u5438\u5668\u7684\u6301\u7e8c\u4f69\u5e36\u7387\u4e0d\u4f73\uff0c\u63d0\u51fa\u8b66\u793a\uff1b\u8cb7\u4e86\u547c\u5438\u5668\u665a\u4e0a\u4e0d\u4f69\u5e36\uff0c\u5f62\u540c\u653e\u68c4\u6cbb\u7642\u3002\u4e5f\u8b93\u81ea\u5df1\u66b4\u9732\u5728\u8166\u4e2d\u98a8\u3001\u5fc3\u81df\u75c5\u7b49\u63d0\u65e9\u6210\u70ba\u4f9d\u8cf4\u4eba\u53e3\u7684\u5371\u96aa\u4e2d\u3002<\/p>\n

\u672c\u9662\u7684\u57f7\u884c\u65b9\u5f0f<\/span><\/p>\n

\u7576\u60a3\u8005\u7d93\u6aa2\u67e5\u8b49\u5be6\u6709\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u5f8c\uff0c\u8f14\u5c0e\u5176\u63a5\u53d7\u967d\u58d3\u547c\u5438\u5668\u4f69\u5e36\u4e26\u6e1b\u91cd\u9580\u8a3a\u8aee\u8a62\uff0c\u800c\u7121\u6cd5\u9069\u61c9\u4f69\u5e36\u547c\u5438\u5668\u6216\u975e\u9ad4\u91cd\u56e0\u7d20\u8005\uff0c\u5247\u5b89\u6392\u624b\u8853\u3002\u624b\u8853\u6700\u5927\u76ee\u7684\u662f\u6cbb\u7652\u60a3\u8005\uff0c\u6e1b\u5c11\u7761\u7720\u4e2d\u547c\u5438\u66ab\u505c\u6b21\u6578\uff0c\u63d0\u9ad8\u8840\u4e2d\u6c27\u6c23\u6fc3\u5ea6\uff0c\u4f7f\u91cd\u5ea6\u60a3\u8005(Apnea Hyponea Index, AHI>30)\u8b8a\u6210\u8f15\u5ea6\u60a3\u8005(AHI<15)\u6216\u6b63\u5e38\u4eba(AHI<5)\u3002\u4f46\u624b\u8853\u8207\u547c\u5438\u5668\u5be6\u70ba\u76f8\u8f14\u76f8\u6210\u7684\u89d2\u8272\uff0c\u5c0d\u65bc\u8d85\u91cd\u5ea6\u60a3\u8005(AHI>65)\uff0c\u62d2\u7d55\u4f69\u5e36\u6216\u7121\u6cd5\u9069\u61c9\u9577\u671f\u4f69\u5e36\u547c\u5438\u5668\u8005\uff0c\u5247\u671f\u5f85\u5728\u624b\u8853\u5f8c\u56e0\u4e0a\u547c\u5438\u9053\u901a\u9053\u8b8a\u5927\uff0c\u547c\u5438\u5668\u7d66\u4e88\u7684\u58d3\u529b\u8b8a\u5c0f\uff0c\u4e0d\u9069\u611f\u6e1b\u5c11\u800c\u6234\u5f97\u4f4f\u547c\u5438\u5668\u3002<\/p>\n

\u624b\u8853\u904e\u7a0b\u662f\u7d93\u7531\u9f3b\u8154\u63d2\u7ba1\uff0c\u5c07\u591a\u5c64\u624b\u8853\u7684\u89c0\u5ff5\u8b93\u60a3\u8005\u4e86\u89e3\u5f8c\uff0c\u540c\u6642\u57f7\u884c\u54bd\u984e\u6210\u578b\u8853\u8207\u7d93\u53e3\u9054\u6587\u897f\u820c\u6839\u5207\u9664\u8853\uff0c\u4ee5\u6253\u901a\u7761\u7720\u6642\u4f86\u81ea\u53e3\u8154\u3001\u820c\u6839\u8207\u4e0b\u54bd\u90e8\u7684\u963b\u585e\u3002\u9f3b\u90e8\u624b\u8853\u9700\u4e0a\u8ff0\u50b7\u53e3\u7652\u5408\u5f8c\uff0c\u5927\u7d043\u5468\u5230\u4e00\u500b\u6708\u518d\u5be6\u65bd\u3002\u624b\u8853\u5f8c\u4e00\u5468\u9650\u6d41\u8cea\u98f2\u98df\uff0c\u7981\u6b62\u5287\u70c8\u54b3\u55fd\u4ee5\u514d\u624b\u8853\u90e8\u4f4d\u7d50\u67b7\u812b\u843d\u9020\u6210\u8853\u5f8c\u51fa\u8840\u3002\u7b2c\u4e8c\u5468\u5f8c\u53ef\u6b63\u5e38\u98f2\u98df\u3002<\/p>\n

\u9054\u6587\u897f\u6a5f\u68b0\u624b\u81c2\u70ba\u7f8e\u570b\u539f\u5ee0\u5b9a\u50f9\u7684\u8017\u6750\uff0c\u5065\u4fdd\u4e0d\u7d66\u4ed8\u3002\u4f46\u76f8\u5c0d\u65bc\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u6240\u5e36\u4f86\u5c0d\u500b\u4eba\u5c0d\u5bb6\u5ead\u7684\u98a8\u96aa\uff0c\u61c9\u662f\u4e00\u9805\u503c\u5f97\u7684\u6295\u8cc7\u3002<\/p>\n

\u8aee\u8a62\u5c08\u7dda\uff1a04-24739595\u8f4920233<\/p>\n

\u8aee\u8a62\u8655\uff1a\u6c5d\u5ddd\u5927\u6a13\u4e8c\u6a13\"\"<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

\u53c3\u8003\u6587\u737b:<\/p>\n

1. Uvulopalatopharyngoplasty\u00a0versus\u00a0laser-assisted\u00a0uvulopalatoplasty\u00a0for\u00a0the\u00a0treatment\u00a0of\u00a0obstructive\u00a0sleep\u00a0apnea.Walker RP et al<\/em> .Laryngoscope.1997<\/em><\/span><\/p>\n

2. Transoral robotic glossectomy for the treatment of obstructive sleep apnea \u2013hyponea syndrome.Friedman et al<\/em> Otolaryngology – Head & Neck Surgery. 2012<\/em><\/span><\/p>\n

3. Clinical outcomes and complications associated with TORS for OSAHS: a benchmark for evaluating an emerging surgical technology in a targeted application for benign disease.Vicini C et al<\/em> Journal of Oto-Rhino-Laryngology & its Related Specialties. 2014.<\/em><\/span><\/p>\n

4. The economic immmpact of obstructive sleep apnea.Tarasiuk A <\/span>\u00a0etal\u00a0<\/em>Current Opinion in Pulmonary Medicine. 19(6):639-44, 2013 Nov<\/span><\/em><\/p>\n

5. Sleep\u00a0disordered\u00a0breathing\u00a0and\u00a0mortality:\u00a0eighteen-year\u00a0follow-up\u00a0of\u00a0the\u00a0Wisconsinsleep\u00a0cohort.Young T; etal Sleep. 31(8):1071-8, 2008 Aug<\/em><\/span><\/p>\n

6. survial of veterans with sleep apnea: continous postitve airway pressure versus surgery<\/span>; etal <\/span>Otolaryngology – Head & Neck Surgery. 2004\u00a0<\/em><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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