Macdonald Audrey, Drinnan Michael, Johnston Andrew, Reda Mohamed, Griffiths Clive, Wilson Janet, Gibson G John
Department of Medical Physics, Freeman Hospital, High Heaton, Newcastle upon Tyne, UK.
Otolaryngol Head Neck Surg. 2006 Feb;134(2):197-203. doi: 10.1016/j.otohns.2005.10.016.
Laser-assisted uvulopalatoplasty (LAUP) is a common treatment for snoring, but up to 50% of patients obtain little or no sustained benefit. We investigated whether pre-operative measurements from lateral cephalometry, acoustic rhinometry, analysis of snoring sounds, and body mass index (BMI) could predict which snorers benefited from LAUP.
Fifty-five snoring patients were assessed pre- and 6 months post-LAUP. Snoring severity was assessed by objective sound level recorded during polysomnography, and a Snoring Symptoms Inventory (SSI) questionnaire.
The outcome of surgery was assessed by changes in objective sound measurements and in SSI, 6 months after LAUP.
Relationships between the predictive measurements and outcome were at best only weak and none had sufficient predictive value to be useful in clinical practice.
激光辅助悬雍垂腭咽成形术（LAUP）是治疗打鼾的一种常见方法，但高达50%的患者几乎没有或根本没有获得持续的益处。我们研究了术前通过头影测量、鼻声反射测量、鼾声分析和体重指数（BMI）进行的测量是否能够预测哪些打鼾者能从LAUP中获益。
对55名打鼾患者在LAUP术前及术后6个月进行评估。通过多导睡眠图记录的客观声级和打鼾症状量表（SSI）问卷对打鼾严重程度进行评估。
在LAUP术后6个月，通过客观声音测量和SSI的变化对手术结果进行评估。
预测性测量与结果之间的关系充其量只是微弱的，没有一项具有足够的预测价值以用于临床实践。
