OSAS患者的颅面上气道结构的矢状面测量分析  

Sagittal plane analysis on craniofacial and upper airway structure of adults with obstructive sleep apnea syndrome

作　　者：李长涛[1] 高雪梅[2] 李瑛[3] 李惠兰[3] 刘瑛年[3] 

机构地区：[1]北京海淀医院口腔科,100080 [2]北京大学口腔医学院正畸科 [3]山西医科大学第二医院口腔科

出　　处：《实用口腔医学杂志》2005年第4期460-462,共3页Journal of Practical Stomatology

摘　　要：目的:研究OSAS患者的颅面上气道形态异常,探讨OSAS患者的结构性致病因素。方法:31名男性OSAS患者与16名无自觉症状的男性组成的对照组进行颅面结构上气道的头影测量比较。结果:与对照组相比,OSAS患者存在ANB角大,颌凸角大,具有安氏II类骨型的趋势。表现出舌骨位置靠前,舌体长大,骨性鼻咽高度降低,软腭后间隙窄。结论:OSAS患者颅面形态倾向于安氏II类骨型,气道狭窄处在鼻咽、腭咽,说明结构性致病因素不容忽视。Objective:To investigate the abnormality of the craniofacial and upper airway structure in adults with obstructive sleep apnea syndrome(OSAS).Methods:The craniofacial skeletal and upper airway morphology of 31 male adult patients with OSAS was measured by cephalometry and compared with that of a control group consisting of 16 male asymptom adults. Results:The significant aberrations in the OSAS group were: relative increased ANB and NA/PA(P<0.05), reduced dimension of the gap behind the soft palate(P<0.01) and reduced nasopharynx size(P<0.05),enlarged tongue(P<0.001) and more anterior positioned hyoid bone(P<0.05).Conclusion:Craniofacial morphology of OSAS patients shows a tendency to that of Angle class II.

关 键 词：测颅法 阻塞性睡眠呼吸暂停综合征 气道阻力 

分 类 号：R766[医药卫生—耳鼻咽喉科]