CAJ | 학술논문

目的探讨上气道CT测量在阻塞性睡眠呼吸暂停综合征( OSAS)临床外科治疗中的应用. 方法选择92例OS-AS患者进行研究,根据鼻部及咽部CT测量结果将患者分为4组:以鼻腔狭窄为主而无软腭后区狭窄的OSAS患者,给予鼻腔扩容术治疗;以软腭后区狭窄为主而无鼻腔狭窄的OSAS患者,给予悬雍垂腭咽成形术( UPPP)手术治疗;同时合并鼻腔狭窄和以软腭后区狭窄为主的OSAS患者,本研究先给予UPPP手术治疗,术后恢复1周后,再次给予鼻腔扩容术治疗;无鼻腔狭窄并且无软腭后区狭窄的OSAS患者,给予持续正压通气治疗( CPAP)治疗,治疗后6个月对92例患者治疗前后进行比较. 结果 92例患者CT示以鼻腔狭窄为主而无软腭后区狭窄的OSAS患者21例;以软腭后区狭窄为主而无鼻腔狭窄的OSAS患者50例;同时合并鼻腔狭窄和以软腭后区狭窄为主的OSAS患者18例;无鼻腔狭窄无软腭后区狭窄的OSAS患者3例. 软腭后区,舌后区,会厌后区前后径、左右径、最小截面积由治疗前后差异均有统计学意义(P<0.05). 结论上气道CT可准确快速反映OSAS患者解剖学狭窄部位,为临床医生选择手术方式提供可靠依据.
목적 탐토상기도CT측량재조새성수면호흡잠정종합정( OSAS)림상외과치료중적응용. 방법 선택92례OS-AS환자진행연구,근거비부급인부CT측량결과장환자분위4조:이비강협착위주이무연악후구협착적OSAS환자,급여비강확용술치료;이연악후구협착위주이무비강협착적OSAS환자,급여현옹수악인성형술( UPPP)수술치료;동시합병비강협착화이연악후구협착위주적OSAS환자,본연구선급여UPPP수술치료,술후회복1주후,재차급여비강확용술치료;무비강협착병차무연악후구협착적OSAS환자,급여지속정압통기치료( CPAP)치료,치료후6개월대92례환자치료전후진행비교. 결과 92례환자CT시이비강협착위주이무연악후구협착적OSAS환자21례;이연악후구협착위주이무비강협착적OSAS환자50례;동시합병비강협착화이연악후구협착위주적OSAS환자18례;무비강협착무연악후구협착적OSAS환자3례. 연악후구,설후구,회염후구전후경、좌우경、최소절면적유치료전후차이균유통계학의의(P<0.05). 결론 상기도CT가준학쾌속반영OSAS환자해부학협착부위,위림상의생선택수술방식제공가고의거.
Objective To explore the measurement of airway CT for obstructive sleep apnea syndrome ( OSAS) in clinical appli-cation of surgical treatment .Methods In the research,92 patients with OSAS were choiced.According to the nasal and pharyngeal CT meas-urement results ,the patients were divided into four groups:The OSAS patients were given priority to with narrow nasal cavity without narrow after the soft palate ,for the treatment of nasal cavity expansion;The OSAS patients were given priority to with narrow after the soft palate with-out narrow nasal cavity,giving(Uvulopalatopharyngoplasty,UPPP) surgery;The OSAS patients with narrow nasal cavity and after the soft pal-ate patients,first given UPPP surgery.After 1 week postoperative recovery ,again for the treatment of nasal cavity expansion;The OSAS pa-tients without nasal narrow and after the soft palate ,giving continuous positive airway pressure (CPAP) therapy treatment.Before and after treatment for 92 patients were compared after 6 months.Results According to the CT results for 92 patients,the case of OSAS patients given priority to with narrow nasal cavity without narrow after the soft palate were 21.The case of OSAS patients given priority to with narrow after the soft palate without narrow nasal cavity were 50,the case of OSAS patients with narrow nasal cavity and after the soft palate patients were 18,the case of OSAS patients without narrow nasal cavity and after the soft palate patients were 3.There were statistical difference significance before and after the treatment in the soft palate area retroglossal epiglottis region in anteroposterior ,left-right diameter,minimum cross-section-al area(P<0.05).Conclusion The nasal cavity and pharynx ministry CT can accurately and quickly reflect anatomical parts and provide reliable basis for clinicians to choose operation method .