射频与悬雍垂腭咽成形术治疗打鼾的比较。
Radiofrequency versus LAUP for the treatment of snoring.
作者信息
Blumen Marc B, Dahan Serge, Wagner Isabelle, De Dieuleveult Thibault, Chabolle Frédéric
机构信息
Department of Otolaryngology, Head and Neck Surgery, Foch Hospital, Suresnes, France.
出版信息
Otolaryngol Head Neck Surg. 2002 Jan;126(1):67-73. doi: 10.1067/mhn.2002.121017.
OBJECTIVE
To compare efficacy and tolerance of controlled temperature radiofrequency and laser-assisted uvulopalatopharyngoplasty (LAUP) for the treatment of snoring.
METHODS
This was a prospective, nonrandomized study on 30 patients who snored. All patients had a sleep night study. Only patients with simple snoring or mild sleep apnea and soft palate obstruction were included. Efficacy was subjectively evaluated by the bed partner 2 months after the last treatment. Tolerance was estimated daily by the patient during 18 first postoperative days. Discomfort, pain, medication intake, diet, and number of days off from work were assessed.
RESULTS
Both treatments were effective on snoring. Mean discomfort and pain as well as mean intake of analgesics were significantly greater with laser-assisted uvulopalatopharyngoplasty.
CONCLUSION
Controlled temperature radiofrequency was as effective as laser-assisted uvulopalatopharyngoplasty on snoring on a short-term basis but was better tolerated.
目的
比较可控温度射频和激光辅助悬雍垂腭咽成形术（LAUP）治疗打鼾的疗效和耐受性。
方法
这是一项针对30例打鼾患者的前瞻性、非随机研究。所有患者均进行了夜间睡眠研究。仅纳入单纯打鼾或轻度睡眠呼吸暂停且软腭阻塞的患者。疗效由患者的同床伴侣在最后一次治疗2个月后进行主观评估。患者在术后的前18天每天评估耐受性。评估不适、疼痛、药物摄入、饮食和休假天数。
结果
两种治疗方法对打鼾均有效。激光辅助悬雍垂腭咽成形术的平均不适和疼痛以及平均镇痛药摄入量明显更高。
结论
可控温度射频在短期内治疗打鼾的效果与激光辅助悬雍垂腭咽成形术相同，但耐受性更好。
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