Fang T J, Li H Y, Shue C W, Lee L A, Wang P C
Department of Otolaryngology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Int J Clin Pract. 2003 Nov;57(9):769-72.
Traditional surgery for snoring often leads to intolerable postoperative pain. A new surgical treatment, radiofrequency volumetric tissue reduction (RVTR) of the soft palate, was carried out and its effect and safety in the management of snoring were evaluated. Thirty-two patients received a single treatment of RVTR with a mean follow-up period of 4.5 months. All patients were assessed by a questionnaire using the Snore Outcomes Survey (SOS) and the Epworth Sleepiness Scale (ESS). Postoperative pain, speech and swallowing disturbances were also evaluated. The postoperative scores of SOS and ESS all significantly improved (p<0.05). Postoperative pain, speech and swallowing disturbances were all mild 1-3 days after treatment. With the success of treatment defined as a postoperative snoring index (SI) of <3 or a reduction of the SI by >5 points by the visual analogue scale, the success rate was 81.3% in patients with a respiratory disturbance index (RDI) of <20, and 50% in those with an RDI of >20. We conclude that RVTR of the soft palate is an effective treatment for snoring, resulting in only mild postoperative discomfort. A patient whose RDI was <20 had a higher success rate with a single RVTR treatment.
传统的打鼾手术术后疼痛往往难以忍受。开展了一项新的手术治疗方法，即软腭射频容积性组织减容术（RVTR），并评估了其治疗打鼾的效果和安全性。32例患者接受了单次RVTR治疗，平均随访期为4.5个月。所有患者均通过使用打鼾结果调查问卷（SOS）和爱泼华嗜睡量表（ESS）的问卷进行评估。还对术后疼痛、言语和吞咽障碍进行了评估。SOS和ESS的术后评分均显著改善（p<0.05）。治疗后1 - 3天，术后疼痛、言语和吞咽障碍均较轻微。将治疗成功定义为术后打鼾指数（SI）<3或通过视觉模拟量表测量SI降低>5分，呼吸紊乱指数（RDI）<20的患者成功率为81.3%，RDI>20的患者成功率为50%。我们得出结论，软腭RVTR是治疗打鼾的有效方法，术后不适仅较轻微。RDI<20的患者单次RVTR治疗成功率更高。
