Attal P, Popot B, Le Pajolec C, Alfandarry D, Maruani N, Ageel M, Escourrou P, Bobin S
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital de Bicêtre 94275 Le Kremlin-Bicêtre.
Ann Otolaryngol Chir Cervicofac. 2000 Nov;117(5):259-65.
The usual treatments for primary snoring are uvulopalatopharyngoplasty (UPPPP) and laser assisted uvulopalatoplasty, their morbidity is known, particularly considerable postoperative pain. We have performed a prospective study on a population of 23 patients with primary snoring (respiratory disturbance index =6 +/- 1) to 1) evaluates by means of questionnaires the short term (2 month) efficacy of the application of radiofrequency energy at the level of the soft palate, and 2) assess the morbidity associated with this treatment in this population. In the group of patients receiving treatment at three sites in a maximum of three sessions, the short term satisfaction rate was 75 %. The postoperative pain was of minor importance and the use of major analgesics was necessary in 2 cases only. We conclude that this treatment with radiofrequency energy seems to be an effective treatment for primary snoring at short term. The morbidity, specially the pain seems to be distinctly inferior compared to UPPP or laser treatment. Further prospective studies on a larger number of patients and with a longer follow-up are absolutely necessary to confirm these results.
原发性打鼾的常用治疗方法是悬雍垂腭咽成形术（UPPPP）和激光辅助悬雍垂腭成形术，其发病率是已知的，尤其是术后疼痛相当严重。我们对23例原发性打鼾患者（呼吸紊乱指数=6±1）进行了一项前瞻性研究，以：1）通过问卷调查评估在软腭水平应用射频能量的短期（2个月）疗效，以及2）评估该人群中与这种治疗相关的发病率。在最多接受三次治疗、治疗三个部位的患者组中，短期满意率为75%。术后疼痛并不严重，仅2例需要使用强效镇痛药。我们得出结论，这种射频能量治疗在短期内似乎是治疗原发性打鼾的有效方法。与UPPP或激光治疗相比，其发病率，特别是疼痛似乎明显更低。绝对有必要对更多患者进行进一步的前瞻性研究，并进行更长时间的随访以证实这些结果。
