Kotecha B, Paun S, Leong P, Croft C B
Royal National Throat, Nose and Ear Hospital, London, UK.
Clin Otolaryngol Allied Sci. 1998 Aug;23(4):354-9. doi: 10.1046/j.1365-2273.1998.00162.x.
The operation of Laser Assisted Uvulopalatoplasty (LAUP) as described by Kamami is now becoming more commonly used in the treatment of snoring and obstructive sleep apnoea. The authors have treated 95 snoring patients, varying the lengths of the soft palate incisions and percentage of uvula excised. All operations were carried out under general anaesthesia using a CO2 laser. Pilot studies showed incisions that are 25% of the distance between the free edge of the soft palate to the hard palate junction and excision of 50% of the uvula give good results with minimal complications. A further study using these parameters was conducted and postoperative evaluation including polysomnography confirmed this procedure to be effective in reducing snoring levels both subjectively and objectively.
如镰见所描述的激光辅助悬雍垂腭咽成形术（LAUP）如今在治疗打鼾和阻塞性睡眠呼吸暂停方面的应用越来越普遍。作者对95例打鼾患者进行了治疗，改变了软腭切口的长度和悬雍垂切除的比例。所有手术均在全身麻醉下使用二氧化碳激光进行。初步研究表明，软腭游离缘至硬腭交界处距离25%的切口以及50%悬雍垂的切除能取得良好效果且并发症最少。使用这些参数进行了进一步研究，包括多导睡眠图在内的术后评估证实该手术在主观和客观上都能有效降低打鼾程度。
