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Methods Twenty-three cases of OSAS patients proved by polysomnography were examined with MRI. The cross-sectional area of retropalatal region, retroglossal region, epiglottal region and the lateral parapharyngeal fat pad of RP region was calculated. The thickness of bilateral and posterior pharyngeal wall and other indices were also measured. 30 nonsnoring age-matched normal subjects were selected as the control group. 15 patients underwent turbo field echo T1-weighted imaging during sleep. The images of RP, RG, and EPG were analyzed. Results In oSAS group, the cross sectional area of RP and RG regions was smaller than that of the control group.

应用MRI对23例经多导睡眠监测(polysomnography, pSG)确诊的OSAS患者及30例无打鼾的健康成人进行上气道检查,于轴面图像测量软腭后区(retropalatal region, RP区)、舌根后区(retroglossal region, RG区)和会厌区(epiglottal region, EPG区)的气道截面积,各区前后、左右径及其比值,各区咽侧壁、咽后壁软组织厚度,RP区咽旁间隙(lateral parapharyngeal fat pad,LPFP)截面积,于正中矢状面图像测量软腭厚度、长度及截面积,对两组各项检查指标进行统计学分析。

In the A and B figures, small grape-like tissue covered over all the epiglottic area that is hypertrophic lymphoid tonsil. More advanced the fiberoptic laryngoscope during spontaneous inspiration phase, larynx and vocal cord can be visualized in the C and D figures. We must emphasize that endotracheal intubation and even artificial ventilation was hardly performed under direct laryngocopy and general anesthesia.

图片A和B中,覆盖整个会厌部的葡萄息肉状物就是濔漫增生的舌底部淋巴组织增生,当光纤内视镜随著病人自主呼吸向内向下移动,吐气时可以见到图片C和D中喉头及声带的开合,由於在全身麻醉下无自主呼吸时此病人咽喉部位的似帘幕状遮蔽特殊结构造成之困难插管甚至是困难通气。

In the A and B figures, small grape - like tissue covered over all the epiglottic area that is hypertrophic lymphoid tonsil . More advanced the fiberoptic laryngoscope during spontaneous inspiration phase, larynx and vocal cord can be visualized in the C and D figures. We must emphasize that endotracheal intubation and even artificial ventilation was hardly performed under direct laryngocopy and general anesthesia .+{{: congress:2008:abstract:c01-1. jpg

图片A和B中,覆盖整个会厌部的葡萄息肉状物就是濔漫增生的舌底部淋巴组织增生,当光纤内视镜随著病人自主呼吸向内向下移动,吐气时可以见到图片C和D中喉头及声带的开合,由於在全身麻醉下无自主呼吸时此病人咽喉部位的似帘幕状遮蔽特殊结构造成之困难插管甚至是困难通气。

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