Hagert B, Wahren L K, Wikblad K, Odkvist L
Department of Medicine and Care, Faculty of Health Sciences, Link opings University, Linköping, Sweden.
ORL J Otorhinolaryngol Relat Spec. 1999 Jan-Feb;61(1):19-24. doi: 10.1159/000027633.
A follow-up study was performed with the aim to evaluate all individuals surgically treated by the uvulopalatopharyngoplasty (UPPP) or laser uvulopalatoplasty (LUPP) method from a whole county in Sweden, 1-8 years after surgery, by assessing snoring occurrence and daytime sleepiness, as experienced by the patients and their cohabitants. Questionnaires were mailed to all operated people (n = 457) and were returned by 91% (346 men, 69 women) preoperatively diagnosed as habitual snorers (n = 255), cases of obstructive sleep apnea syndrome (n = 110) and unspecified snorers (n = 48). In addition 345 bedpartners participated. For outcome of surgery, no significant differences in diagnoses or sex were found. Improvement in snoring occurrence was reported by 89.6% of the patients, confirmed by 92% of the cohabitants (r = 0.84, p < 0.01). The remaining snoring occurrence was significantly dependent on the surgical method and the time after operation. Excessive daytime sleepiness (EDS) was experienced by 73.3% of the patients compared to 67% reported by the cohabitants. Of 415 patients operated on, 18% were free from snoring and 25% were free from EDS. Individuals with a shorter time since surgery reported less snoring. The UPPP method gave a significantly better result than LUPP for the symptom 'snoring'.
开展了一项随访研究，旨在对瑞典一个县所有接受悬雍垂腭咽成形术（UPPP）或激光悬雍垂腭成形术（LUPP）治疗的患者进行术后1至8年的评估，通过评估患者及其同居者所感受到的打鼾情况和日间嗜睡情况。向所有接受手术的患者（n = 457）邮寄了问卷，91%（346名男性，69名女性）回复了问卷，这些患者术前被诊断为习惯性打鼾者（n = 255）、阻塞性睡眠呼吸暂停综合征患者（n = 110）以及未明确诊断的打鼾者（n = 48）。此外，345名同居伴侣参与了调查。就手术结果而言，在诊断或性别方面未发现显著差异。89.6%的患者报告打鼾情况有所改善，同居者中有92%证实了这一点（r = 0.84，p < 0.01）。剩余的打鼾情况显著取决于手术方法和术后时间。73.3%的患者有日间过度嗜睡（EDS），而同居者报告的比例为67%。在接受手术的415名患者中，18%不再打鼾，25%不再有日间过度嗜睡。术后时间较短的患者打鼾情况较少。对于“打鼾”症状，UPPP方法的效果明显优于LUPP。
