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%。
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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