| Clinical observation of palatophalyngoplasty treatment                   for obstructive sleep apnea syndrome         Department of Otorhinolaryngology the First Affiliated Hospital of         of Xinjiang Medical Universitys         Postgradute Liang zhong       Supervisor  Su shiwu         [abstractJOBGECTIVE:In order to prove further through         polysomnography(PSG) and CT,that palatopharyngoplasty(PPP)         treatment for obstructive sleep apnea syndrome (OSAS) is effctive.         METHODS:We have performed PPP operations on 15 OSAS         patients comfirmed by PSG, with oropharyngeal constriction         confirmed by CT.The patients by PPP were again examined by PSG         and CT after 10 days. The lowest Sa02, apnea hypoxia index(AHI),         the cross- sectional area of oropharynx were recorded and analysed.         RESULTS:   The lowest Sa02 improved obviously(P<0.05). The         cross-sectional area enlaged evidently(P<0.05). AHI was not         different(P>0.05).The subjective syndrome of 14 patients became         better differently, but the improvement of the objective test was not         satisfying. CONCLUSIONS: The clinical appraisal about PPP,         PSG combined with oropharyngeal CT provide overall objective         basis,That the narrow place is oropharynx comfirmed by CT, is chief         adaptability indication. That the improvement of subjective         syndrome is superior to objective test, the reason is pending further         discussion. The short-term curative effect is satisfying, the long ?         term cruative effect is waitted to observe fijrther. |