CAJ | 학술논문

目的：运用电子喉镜对上气道形态、结构及表面特征的直接观察，Muller呼吸试验模拟上气道阻塞状态下咽腔塌陷情况推断睡眠时气道可能发生阻塞的部位，为睡眠呼吸暂停低通气综合症（OSAHS）病人的治疗提供参考。方法选取该院30例OSAHS病人和30例单纯鼾症对照者进行电子喉镜检查，分别在平静呼吸及Muller呼吸状态，观察其悬雍垂根部、扁桃体下极、会厌上缘平面塌陷程度，并对两组所观察结果进行比较。结果 OSAHS组较对照组有显著差异。OSAHS患者上气道狭窄表现在多个平面。不同程度OSAHS病人咽腔Muller氏试验下缩小范围有明显差异。结论电子喉镜对OSAHS患者上气道的阻塞平面及其变化观察具有重要的临床意义，是一种简便、有效的术前评估OSAHS病人上呼吸道情况的方法。
목적：운용전자후경대상기도형태、결구급표면특정적직접관찰，Muller호흡시험모의상기도조새상태하인강탑함정황추단수면시기도가능발생조새적부위，위수면호흡잠정저통기종합증（OSAHS）병인적치료제공삼고。방법선취해원30례OSAHS병인화30례단순한증대조자진행전자후경검사，분별재평정호흡급Muller호흡상태，관찰기현옹수근부、편도체하겁、회염상연평면탑함정도，병대량조소관찰결과진행비교。결과 OSAHS조교대조조유현저차이。OSAHS환자상기도협착표현재다개평면。불동정도OSAHS병인인강Muller씨시험하축소범위유명현차이。결론전자후경대OSAHS환자상기도적조새평면급기변화관찰구유중요적림상의의，시일충간편、유효적술전평고OSAHS병인상호흡도정황적방법。
Objective To explore the possible obstructive site of the airway during sleep,so as to provide reference for the treatment of OSAHS patients.Methods We selected 30 OSAHS patients and 30 patients with simple snoring as controls to undergo electronic la-ryngoscopy.Roots of uvula,tonsil pole,epiglottis sink were observed and compared at quiet breathing and Muller respiratory status.Re-sults There was a significant difference in OSAHS group from control group.Airway narrowing of OSAHS patients appeared in multiple planes.Narrowing degrees of pharynx of OSAHS patients were significantly different at Muller respiratory status.Conclusions Elec-tronic laryngoscopy has clinical significance for observation of upper airway obstruction and change in OSAHS patients,which is a sim-ple and effective preoperative assessment of OSAHS patients.