- 期刊
以二氧化碳雷射施行單次上顎懸壅垂成型術治療打鼾之長期追蹤結果
Long-term Follow-up Results of Single Staged Laser-assisted Uvulopalatoplasty (LAUP) for Treatment of Snoring
摘要
打鼾是一種常見而擾人的問題，1986年Kamami發展出二氧化碳雷射上顎懸壅垂成型術(laser-as-sisted uvulopalatoplasty,LAUP)來治療打鼾，較傳統懸壅垂上顎咽成型術(uvulopalatopharyngoplasty, UPPP)手術安全而簡便。近年來文獻中所提出的治療成果報告，以多次LAUP治療打鼾的效果約可達到70-89%，但卻缺乏長期的追蹤報告。為避免多次LAUP的困擾，新光醫院耳鼻喉科搜集了62例因打鼾而接受單次LAUP的病人，做短期(術後3個月)及長期(術後16個月)的治療效果比較。發現在打鼾的治療效果方面：以單次LAUP治療打鼾，其顯著改善率(包括打鼾完全消失及改善大於50%者)初期可達到77.4%，但經長期追蹤後，其顯著改善率下降為58.1%。
並列摘要
Snoring not only disturbs the roommates’ sleep, but may also lead to social problems. Laser-assisted uvulopalatoplasty (LAUP) developed by Dr. Kamami has become a popular, safe and easy procedure to solve this problem. We collected 62 snorers who received single staged LAUP from January through July 1996 at Shin-Kong Memorial Hospital. After short-term(3 months) and long-term (16 months) follow up , we found a marked improvement rate (complete elimination of snoring and more than 50% improvement of snoring ) of 77.4% and 58.1%, respectively. Since there is a tendency of decreasing the success rates after long-term follow up, more long-term follow up is necessary to evaluate the final results of LAUP.
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