中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
29期
1-5
,共5页
詹善强%倪宝良%胡伟%李春莉%刘刚
詹善彊%倪寶良%鬍偉%李春莉%劉剛
첨선강%예보량%호위%리춘리%류강
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
睡眠呼吸暫停綜閤徵%體層攝影術%X線計算機%氣道梗阻%人體測量術
수면호흡잠정종합정%체층섭영술%X선계산궤%기도경조%인체측량술
Sleep apnea syndrome%Tomography%X-ray computed%Airway obstruction%Anthropometry
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。
目的：探討阻塞性睡眠呼吸暫停綜閤徵（OSAHS）患者行上呼吸道CT測量的臨床價值。方法：選擇2013年1月-2015年3月本院收治的OSAHS患者72例作為OSAHS組，同期選擇30例無打鼾的健康者為對照組，採用螺鏇CT自鼻嚥頂部至環狀軟骨水平的區域進行連續掃描，以硬腭後緣、懸雍垂尖、會厭尖為標誌，將上呼吸道分成鼻嚥區、腭後區、舌後區及會厭後區。測量比較兩組平靜呼吸時各區最小截麵積前後徑、左右徑及橫截麵積。結果：OSAHS患者腭後區和舌後區測量指標均低于對照組，重度組腭後區、舌後區及會厭後區測量指標均低于對照組，重度組舌後區和會厭後區測量指標均低于輕中度組，以上比較差異均有統計學意義（P<0.05）。輕中度組舌後區及會厭後區狹窄情況均優于重度組，比較差異均有統計學意義（P<0.05）。72例OSAHS患者中，單純腭後區狹窄15例，2箇平麵狹窄33例，3箇平麵狹窄21例，4箇平麵同時存在狹窄的3例。結論：螺鏇CT測量上氣道可以穫得狹窄的部位和程度，對臨床治療具有重要指導意義。
목적：탐토조새성수면호흡잠정종합정（OSAHS）환자행상호흡도CT측량적림상개치。방법：선택2013년1월-2015년3월본원수치적OSAHS환자72례작위OSAHS조，동기선택30례무타한적건강자위대조조，채용라선CT자비인정부지배상연골수평적구역진행련속소묘，이경악후연、현옹수첨、회염첨위표지，장상호흡도분성비인구、악후구、설후구급회염후구。측량비교량조평정호흡시각구최소절면적전후경、좌우경급횡절면적。결과：OSAHS환자악후구화설후구측량지표균저우대조조，중도조악후구、설후구급회염후구측량지표균저우대조조，중도조설후구화회염후구측량지표균저우경중도조，이상비교차이균유통계학의의（P<0.05）。경중도조설후구급회염후구협착정황균우우중도조，비교차이균유통계학의의（P<0.05）。72례OSAHS환자중，단순악후구협착15례，2개평면협착33례，3개평면협착21례，4개평면동시존재협착적3례。결론：라선CT측량상기도가이획득협착적부위화정도，대림상치료구유중요지도의의。
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.
