원저

코골음환자에서 수술전 이학적 소견의 중요성에 대한 고찰

이종환1, 구교준1, 남승일1, 이상민2, 김동균1, 구수권1, 이상화1
Jong Hwan Lee1, Gyo Jun Koo1, Seung II Nam1, Sang Min Lee2, Dong Kyun Kim1, Soo Kweon Koo1, Sang Hwa Lee1
Author Information & Copyright
1부산 성분도병원 이비인후과
2국군 창동병원 이비인후과
1Department of Otolaryngology,Saint Benedict Hospital, Pusan, Korea
2Department of Otolaryngology, Changdong Military Hospital Seoul,Korea

© Copyright 1997 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Objective: We performed the polysomnography and other preoperative laboratory tests and evaluated the significance of them in predicting operative and postoperative risk of laser-assisted uvulopalatoplasty(LAUP).

Materials and methods: 107 patients who complained of snoring or obstructive sleep apnea were examined by polysomnography and other laboratory tests at department of otolaryngology, Saint Benedict Hospital. We analyzed these data according to apnea index and compared with normal control group.

Results: 1. Body mass index and lowest SaO2 were significantly correlated with apnea index.

  1. Hypertension was 52.4% in snoring patients, higher than 14.0% in normal control.

  2. Systolic blood pressure was not significantly correlated with apnea index.

  3. There were 29 cases(27%) of liver function test abnormalities, 7 cases(7%) of urinalysis abnormalities and 7 cases(7%) of chest PA abnormalities.

Conclusion: It is necessary to perform preoperative polysomnography and other laboratory tests for prevention of operative and postoperative risk associated with laser-assisted uvulopalatoplasty.

Keywords: Snoring; Polysomnography; Laboratory tests; Operative risk