改良式雷射懸雍垂腭咽整形術對顧打鼾及睡眠呼吸中止症狀的治療評估－初期報告

背景：習慣性打鼾是一個很普通的問題但常會造成很多社交及醫學上的困擾，嚴重合併有阻塞性睡眠呼吸中止症候群的症患更可引起高血壓、缺血性心臟病、心律不整右心衰竭。懸雍垂腭咽整形術和雷射懸雍腭部整形術是最常用的治療方式，但是兩種方法都有某些缺點。本研究則採用改良的雷射懸雍垂腭咽整形術，我們將討論本法的優點並評估療效。方法：共有15名病人因打鼾且合併扁桃腺肥大症來本院接受改良的雷射懸雍垂腭咽整形術，其中11名病人被發現有睡眠呼吸中止症候群的症狀，手術的過程包含桃腺切除，前後柱縫合與雷射輔助懸雍垂軟腭整形。結果：結果顯示大部份的病人在打鼾和睡眠呼吸中止症候群的相關症狀都有顯著的改善，手術後發生合併症的機率也低，也沒有如腭咽鎖不全、鼻咽狹窄等嚴重的併發症發生。

關鍵字

打鼾；睡眠呼吸中止症候群；雷射懸雍垂腭咽整形術

並列摘要

Background: Habitual snoring is a common ailment which may cause both physical and social problems. People with obstructive sleep apnea may also have hypertension, ischemic heart disease, arrhythmia or right ventricular failure. Uvulopalatopharyngoplasty (UPPP) and laserassisted uvulopalatoplasty (LAUP) are the most commonly used methods to treat snoring and obstructive sleep apnea. However, there are some drawbacks to both methods. The purpose of this study is to evaluate the efficacy of a modified laser UPPP. Methods: From April 1995 through October 1997, fifteen patients with snoring and tonsillar hypertrophy underwent a modified laser UPPP. Of the 15 patients, 11 were found to have symptoms of sleep apnea. The surgical procedure included bilateral tonsillectomies, suture of pillar mucosa and laser uvulopalatoplasty. Results: Our results show a significant decrease in the incidence of snoring and the symptoms of sleep apnea in about 80% of the patients. There were only minor postoperative complications. No serious complication such as velopharyngeal insufficiency or nasopharyngeal stenosis were noted in the patients of this series. Conclusions: the modified surgical procedure was found to be an alternative treatment for patients with snoring and tonsillar hypertrophy. However, further research and long-term follow-up are required to confirm of the efficacy of this method for the treatment of obstructive sleep apnea.

並列關鍵字

snoring ； sleep apnea syndrome ； aser uvulopalatopharyngoplasty

國際替代計量

改良式雷射懸雍垂腭咽整形術對顧打鼾及睡眠呼吸中止症狀的治療評估－初期報告

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