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題名 | 改良式雷射懸雍垂 咽整形術對於打鼾及睡眠呼吸中止症狀的治療評估--初期報告=Modified Laser Uvulopalatopharyngoplasty for the Treatment of Snoring and Symptoms of Sleep Apnea-- A Preliminary Report |
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作者 | 黃仲鋒; 蘇志英; 簡志彥; 吳哲民; Hwang, Chung-feng; Su, Chih-ying; Chien, Chih-yen; Wu, Che-ming; |
期刊 | 中華民國耳鼻喉科醫學會雜誌 |
出版日期 | 19980800 |
卷期 | 33:4 1998.08[民87.08] |
頁次 | 頁61-66 |
分類號 | 416.87 |
語文 | chi |
關鍵詞 | 打鼾; 睡眠呼吸中止症候群; 雷射懸雍垂 咽整形術; Snoring; Sleep apnea syndrome; Laser uvulopalatopharyngoplasty; |
中文摘要 | 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病患更可引起高血壓、缺血性心臟病、心律不 整與右心衰竭。懸雍垂�Z咽整形術和雷射懸雍垂�Z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�Z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 �Z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,手術的過程包含扁桃腺 切除,前後柱縫合與雷射輔助懸雍垂軟�Z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�Z咽 閉鎖不全、鼻咽狹窄等嚴重的併發症發生。結論:本研究顯示針對打鼾且合併有扁桃腺肥大 的病患,此種改良式的手術方式是一種更佳的選擇。然而,仍需更進一步研究來確認其對阻 塞性睡眠呼吸中止症候群的長期療效。 |
英文摘要 | Background: Habitual snoring is a common ailment which may cause both physical and social problems. People with obstructive sleep apnea may also have hypertension, ischemci hert disease. arrhythmia or right ventricular failure. Uvulopalatopharyngoplasty (UPPP) and laserassisted uvulopalatoplasty (LAUP) are the most commonly used methods to treat snoing 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 founf 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 complications 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. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。