Laser-assisted uvulopalatoplasty has been introduced as an alternative to uvulopalatopharyngoplasty for treatment of snoring and potentially of obstructive sleep apnea syndrome. Between July 1994 and June 1996, 192 patients underwent 227 laser-assisted uvulopalatoplasty procedures. Loud habitual snoring was evaluated in 42 women (21.8%) and 150 men (78.2%), who were then treated with laser-assisted uvulopalatoplasty. Among the 192 patients (227 procedures), with ages from 18 to 81 years (mean 42.6 years), 15.6% (30 patients) had more than one laser-assisted uvulopalatoplasty treatment. In our series, 80 patients (42.1%) had a history of obstructive sleep apnea syndrome in addition to snoring. Laser-assisted uvulopalatoplasty treatment in patients with loud snoring resulted in elimination of snoring in 61%, partial improvement of snoring in 26%, and no improvement in 13%. The overall success rate was 87%. The mean body mass index was significantly higher in the patients with no response after the operation (27.9 kg/m2) compared with that in the patients with a good response (25.9 kg/m2). Obese (body mass index >30 kg/m2) patients were more likely to have no response to laser-assisted uvulopalatoplasty treatment of snoring than patients with an ideal body weight (body mass index <25 kg/m2) (p < 0.01). We conclude that the body mass index may be of significant value in the postoperative success rate of laser-assisted uvulopalatoplasty for the treatment of snoring.
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机译：激光辅助的睑板成形术已被取代为睑板睑咽成形术的替代品，用于治疗打和潜在的阻塞性睡眠呼吸暂停综合症。在1994年7月至1996年6月之间，有192例患者接受了227例激光辅助的睑内翻成形术。在42名女性（21.8％）和150名男性（78.2％）中评估了大声的习惯性打evaluated，然后对它们进行了激光辅助的睑内翻成形术治疗。在192名患者（227例手术）中，年龄从18岁到81岁（平均42.6岁），其中15.6％（30例患者）接受了一种以上的激光辅助下腹膜成形术治疗。在我们的系列中，除打呼ing外，还有80例（42.1％）的患者有阻塞性睡眠呼吸暂停综合征的病史。大声打呼patients的患者在激光辅助下进行的腹膜成形术治疗导致打elimination的消除为61％，打nor的部分改善为26％，而没有改善为13％。总体成功率为87％。术后无反应的患者（27.9 kg / m2）的平均体重指数显着高于反应良好的患者（25.9 kg / m2）的平均体重指数。肥胖（体重指数> 30 kg / m2）的患者比理想体重（体重指数<25 kg / m2）的患者对打uv打laser行激光无反应的可能性更大（p <0.01）。我们得出的结论是，体重指数可能在激光辅助下睑成形术治疗打nor的术后成功率中具有重要价值。
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