郑州大学学报（医学版）
鄭州大學學報（醫學版）
정주대학학보（의학판）
JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES)
2015年
1期
85-87,88
,共4页
阻塞性睡眠呼吸暂停低通气综合征%磁共振成像%上气道%阻塞部位
阻塞性睡眠呼吸暫停低通氣綜閤徵%磁共振成像%上氣道%阻塞部位
조새성수면호흡잠정저통기종합정%자공진성상%상기도%조새부위
obstructive sleep apnea syndrome%magnetic resonance imaging%upper airway%obstructive site
目的：探讨磁共振成像技术在确定阻塞性睡眠呼吸暂停低通气综合征（ OSAS ）患者上气道阻塞部位中的临床应用价值。方法：对30例OSAS患者及30例健康对照进行上气道磁共振影像的拍摄及数据的测量，并利用计算机工作站对测量数据进行分析比较。结果：①上气道的测量：OSAS患者鼻咽部的横径、矢向径、最小截面积、平均截面积及体积，腭咽部的矢向径、最小截面积，舌咽部的横径、矢向径、平均截面积及体积，喉咽部的横径、矢向径、平均截面积及体积均小于正常对照人群（P均＜0．05）。②软组织的测量：OSAS患者舌体的最大截面积、长度、厚度及软腭的最大截面积、长度均大于正常对照人群（P均＜0．05）。结论：磁共振成像可以从三维方向上准确判定OSAS患者上气道阻塞的部位，为OSAS的诊治提供依据。
目的：探討磁共振成像技術在確定阻塞性睡眠呼吸暫停低通氣綜閤徵（ OSAS ）患者上氣道阻塞部位中的臨床應用價值。方法：對30例OSAS患者及30例健康對照進行上氣道磁共振影像的拍攝及數據的測量，併利用計算機工作站對測量數據進行分析比較。結果：①上氣道的測量：OSAS患者鼻嚥部的橫徑、矢嚮徑、最小截麵積、平均截麵積及體積，腭嚥部的矢嚮徑、最小截麵積，舌嚥部的橫徑、矢嚮徑、平均截麵積及體積，喉嚥部的橫徑、矢嚮徑、平均截麵積及體積均小于正常對照人群（P均＜0．05）。②軟組織的測量：OSAS患者舌體的最大截麵積、長度、厚度及軟腭的最大截麵積、長度均大于正常對照人群（P均＜0．05）。結論：磁共振成像可以從三維方嚮上準確判定OSAS患者上氣道阻塞的部位，為OSAS的診治提供依據。
목적：탐토자공진성상기술재학정조새성수면호흡잠정저통기종합정（ OSAS ）환자상기도조새부위중적림상응용개치。방법：대30례OSAS환자급30례건강대조진행상기도자공진영상적박섭급수거적측량，병이용계산궤공작참대측량수거진행분석비교。결과：①상기도적측량：OSAS환자비인부적횡경、시향경、최소절면적、평균절면적급체적，악인부적시향경、최소절면적，설인부적횡경、시향경、평균절면적급체적，후인부적횡경、시향경、평균절면적급체적균소우정상대조인군（P균＜0．05）。②연조직적측량：OSAS환자설체적최대절면적、장도、후도급연악적최대절면적、장도균대우정상대조인군（P균＜0．05）。결론：자공진성상가이종삼유방향상준학판정OSAS환자상기도조새적부위，위OSAS적진치제공의거。
Aim:To investigate the clinical value of magnetic resonance imaging ( MRI) in diagnosis of the upper air-way obstructive sites of patients with obstructive sleep apnea syndrome (OSAS).Methods:A total of 30 cases of OSAS and 30 controls were examined by MRI .Then the images were dealt with computer workstation .Results: Compared with the control group , the data in OSAS group ,such as the transverse and sagittal diameter , minimum and mean cross-sectional are-a and volume in nasopharyngeal , the sagittal diameter and minimum cross-sectional area in palatoharynx , the transverse and sagittal diameter , average cross-sectional area and volume in glossopharyngeal , the transverse and sagittal diameter , aver-age cross-sectional area and volume in hypopharynx were smaller (P<0.05).The data in OSAS group, such as the maxi-mum cross-sectional area , length, thickness of the body of tongue , the maximum cross-sectional area and length of the soft palate were larger than those of the control group (P<0.05).Conclusion:The stenosis and structural abnormalities of the upper airway could be accurately determined by MRI technology , which provides basis for the diagnosis and treatment of OSAS.
