使用钕钇铝石榴石激光进行激光辅助悬雍垂腭成形术治疗睡眠障碍。

Laser-assisted uvulopalatoplasty with Nd:YAG laser for sleep disorders.

作者信息

Hanada T, Furuta S, Tateyama T, Uchizono A, Seki D, Ohyama M

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, Kagoshima University, Japan.

出版信息

Laryngoscope. 1996 Dec;106(12 Pt 1):1531-3. doi: 10.1097/00005537-199612000-00017.

DOI:10.1097/00005537-199612000-00017

PMID:8948617

Abstract

We evaluated the apnea index (AI), the oxygen saturation above 95% (SA95), the lowest oxygen saturation (LSAT), and snoring before and after laser-assisted uvulopalatoplasty (LAUP) in 106 patients with obstructive sleep apnea syndrome (n=59) or snoring (n=47). Type 1 LAUP was performed in 42 patients and type 2 LAUP in 64 patients. A 50% or greater reduction in AI was observed in 15 patients (35.7%) who underwent type 1 LAUP and 37 patients (57.8%) who underwent type 2 LAUP. Snoring was diminished in 18 (51.4%) of 35 patients who underwent type 1 LAUP and 30 (55.6%) of 54 patients who underwent type 2 LAUP. SA95 and LSAT showed no difference. No serious complications such as significant bleeding, postoperative episodes of asphyxia, nasopharyngeal stenosis, or nasal regurgitation were observed. LAUP was an effective outpatient treatment.

摘要

我们评估了106例阻塞性睡眠呼吸暂停综合征患者（n = 59）或打鼾患者（n = 47）在激光辅助悬雍垂腭咽成形术（LAUP）前后的呼吸暂停指数（AI）、血氧饱和度高于95%（SA95）、最低血氧饱和度（LSAT）和打鼾情况。42例患者接受了1型LAUP，64例患者接受了2型LAUP。接受1型LAUP的15例患者（35.7%）和接受2型LAUP的37例患者（57.8%）的AI降低了50%或更多。接受1型LAUP的35例患者中有18例（51.4%）打鼾减轻，接受2型LAUP的54例患者中有30例（55.6%）打鼾减轻。SA95和LSAT无差异。未观察到严重并发症，如大出血、术后窒息发作、鼻咽狭窄或鼻反流。LAUP是一种有效的门诊治疗方法。