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悬雍垂腭咽成形术:患者问卷调查结果

Uvulopalatopharyngoplasty: results of a patient questionnaire.

作者信息

Carpenter Janette M, LaMear William R

机构信息

Department of Otolaryngology, University of Southern California, LA County-USC General Hospital, 1200 State St, Los Angeles, CA 90033, USA.

出版信息

Ann Otol Rhinol Laryngol. 2008 Jan;117(1):24-6. doi: 10.1177/000348940811700106.

Abstract

OBJECTIVES

This study was performed to evaluate patient satisfaction after uvulopalatopharyngoplasty (UPPP).

METHODS

One hundred forty-five patients returned surveys in an otolaryngology group. The patients had undergone UPPP for snoring, sleep apnea, or both between April 1, 2000, and April 5, 2005.

RESULTS

Most patients (103; 78%) reported being satisfied with their surgery, and most (96; 71%) stated that they would choose to have the surgery again. Postoperative improvement was reported by 85% of patients who had surgery for snoring alone, 88% of those who had surgery for sleep apnea alone, and 83% of those who had surgery for both. Patients who had a sleep study before surgery had a satisfaction rate of 90.3%, whereas only 62% of those who did not have a sleep study were satisfied. Fifty-three percent of those who had used continuous positive airway pressure still needed it after the operation.

CONCLUSIONS

Most patients who had UPPP were satisfied and would choose to have the surgery again. The most satisfied patients had sleep apnea or sleep apnea and snoring together, as well as a sleep study before surgery. It is important to emphasize that UPPP does not cure everyone of sleep apnea or snoring and that it may not eliminate the need for continuous positive airway pressure.

摘要

目的

本研究旨在评估悬雍垂腭咽成形术(UPPP)后患者的满意度。

方法

145名患者在一个耳鼻喉科组中返回了调查问卷。这些患者在2000年4月1日至2005年4月5日期间因打鼾、睡眠呼吸暂停或两者皆有而接受了UPPP手术。

结果

大多数患者(103名;78%)报告对手术满意,并且大多数(96名;71%)表示他们会选择再次进行该手术。仅因打鼾接受手术的患者中有85%报告术后有改善,仅因睡眠呼吸暂停接受手术的患者中有88%,因两者皆有接受手术的患者中有83%。术前进行过睡眠研究的患者满意度为90.3%,而未进行睡眠研究的患者中只有62%感到满意。使用持续气道正压通气的患者中有53%术后仍需要它。

结论

大多数接受UPPP手术的患者感到满意,并会选择再次进行该手术。最满意的患者患有睡眠呼吸暂停或睡眠呼吸暂停合并打鼾,并且术前进行过睡眠研究。需要强调的是,UPPP并不能治愈所有睡眠呼吸暂停或打鼾患者,并且可能无法消除对持续气道正压通气的需求。

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