阻塞性睡眠呼吸暂停低通气综合征患者上气道CT测量研究(1)
【摘要】 目的：探讨阻塞性睡眠呼吸暂停综合征(OSAHS)患者行上呼吸道CT测量的临床价值。方法：选择2013年1月-2015年3月本院收治的OSAHS患者72例作为OSAHS组，同期选择30例无打鼾的健康者为对照组，采用螺旋CT自鼻咽顶部至环状软骨水平的区域进行连续扫描，以硬腭后缘、悬雍垂尖、会厌尖为标志，将上呼吸道分成鼻咽区、腭后区、舌后区及会厌后区。测量比较两组平静呼吸时各区最小截面积前后径、左右径及横截面积。结果：OSAHS患者腭后区和舌后区测量指标均低于对照组，重度组腭后区、舌后区及会厌后区测量指标均低于对照组，重度组舌后区和会厌后区测量指标均低于轻中度组，以上比较差异均有统计学意义(P<0.05)。轻中度组舌后区及会厌后区狭窄情况均优于重度组，比较差异均有统计学意义(P<0.05)。72例OSAHS患者中，单纯腭后区狭窄15例，2个平面狭窄33例，3个平面狭窄21例，4个平面同时存在狭窄的3例。结论：螺旋CT测量上气道可以获得狭窄的部位和程度，对临床治疗具有重要指导意义。
【关键词】 睡眠呼吸暂停综合征； 体层摄影术； X线计算机； 气道梗阻； 人体测量术
, 百拇医药
Study on Upper Airway Measurement of OSAHS Patients by CT/ZHAN Shan-qiang，NI Bao-liang，HU Wei，et al.//Medical Innovation of China，2015，12(29)：001-005
【Abstract】 Objective：To explore the clinical value of CT scan in patients with obstructive sleep apnea syndrome (OSAHS).Method：72 patients with OSAHS in our hospital from January 2013 to March 2015 were selected as the OSAHS group.30 health people were selected as the control group at the same time.CT scans were performed in patients from the top of nasopharynx to the cricoid region continuously.According to the rear edge of the hard palate，uvula tip and the tip of the epiglottis，the upper respiratory were divided into the nasopharyngeal region，the retropalatal area，the retroglottal area and the epiglottis area.The left-right diameter，anteroposterior diameter and cross section area of the minimum cross-sectional of upper respiratory tract in the two groups were measured and compared.Result：The measurement indexes of the retropalatal area and the retroglottal area in OSAHS patients were lower than those in the control group.The measurement indexes of the retropalatal area，the retroglottal area and the epiglottis area in the severe group were lower than those in the control group.The measurement indexes of the retropalatal area and the retroglottal area in the severe group were lower than those in the mild-moderate group.The differences above were all statistically significant(P<0.05).The narrow situations in the retroglottal area and the epiglottis area of the mild-moderate group were better than those of the severe group，the differences were statistically significant(P<0.05).Among the 72 patients，15 patients had one narrow zone，33 patients had two narrow zones，21 patients had three narrow zones，3 patients had four narrow zones.Conclusion：Spiral CT scan and measurement can get the location and extent of the stenosis of the upper airway，which has important guiding significance for clinical treatment., 百拇医药(詹善强 倪宝良 胡伟 李春莉 刘刚)
【关键词】 睡眠呼吸暂停综合征； 体层摄影术； X线计算机； 气道梗阻； 人体测量术
, 百拇医药
Study on Upper Airway Measurement of OSAHS Patients by CT/ZHAN Shan-qiang，NI Bao-liang，HU Wei，et al.//Medical Innovation of China，2015，12(29)：001-005
【Abstract】 Objective：To explore the clinical value of CT scan in patients with obstructive sleep apnea syndrome (OSAHS).Method：72 patients with OSAHS in our hospital from January 2013 to March 2015 were selected as the OSAHS group.30 health people were selected as the control group at the same time.CT scans were performed in patients from the top of nasopharynx to the cricoid region continuously.According to the rear edge of the hard palate，uvula tip and the tip of the epiglottis，the upper respiratory were divided into the nasopharyngeal region，the retropalatal area，the retroglottal area and the epiglottis area.The left-right diameter，anteroposterior diameter and cross section area of the minimum cross-sectional of upper respiratory tract in the two groups were measured and compared.Result：The measurement indexes of the retropalatal area and the retroglottal area in OSAHS patients were lower than those in the control group.The measurement indexes of the retropalatal area，the retroglottal area and the epiglottis area in the severe group were lower than those in the control group.The measurement indexes of the retropalatal area and the retroglottal area in the severe group were lower than those in the mild-moderate group.The differences above were all statistically significant(P<0.05).The narrow situations in the retroglottal area and the epiglottis area of the mild-moderate group were better than those of the severe group，the differences were statistically significant(P<0.05).Among the 72 patients，15 patients had one narrow zone，33 patients had two narrow zones，21 patients had three narrow zones，3 patients had four narrow zones.Conclusion：Spiral CT scan and measurement can get the location and extent of the stenosis of the upper airway，which has important guiding significance for clinical treatment., 百拇医药(詹善强 倪宝良 胡伟 李春莉 刘刚)