阻塞性睡眠呼吸暂停综合征患者舌骨位置的X线头影测量研究  

A cephalometric study on the position of hyoid bone in patients with obstructive sleep apnea syndrome

作　　者：刘月华[1] 曾祥龙[1] 傅民魁[1] 黄席珍[2] 

机构地区：[1]北京医科大学口腔医学院,100081 [2]协和医科大学北京协和医院,100081

出　　处：《现代口腔医学杂志》1999年第1期21-23,共3页Journal of Modern Stomatology

基　　金：卫生部科学研究基金!96-1-286

摘　　要：目的揭示OSAS患者舌骨位置的异常及其代偿机制，为OSAS患者的诊断和治疗提供形态学依据。方法借助计算机X线头形测量对44例阻塞性睡眠呼吸暂停综合征（OSAS）患者及100例正常的人群舌骨位置进行测量分析。结果在垂直方向上，OSAS患者舌骨位置明显降低，绝大多数在第四至第六颈椎水平；在矢状方向上，舌骨位置因参照平面或参照点不同，表现为后移或正常位。结论OSAS患者的发病可能与舌骨位置异常有关。Objective The present study was to measure the position of hyoid bone in patients with obstructivesleep apnea syndrome(OSAS), and provide the morphological evidence for the correct diagnosis and rational treatment ofOSAS. Methods 44 adult patients diagnosed OSAS were compared in a cephalometric investigation with a control sampleof 100 non - OSAS adults with normal dentofacial traits using computerized cephalometrics. Results ① in verticaldimension, the hyoid bone was located inferiorly significantly and mostly at C4 - C6 level. ② In sagittal dimension, thehyoid bone was positioned posteriorly or normally in response to different reference plane and point. Conclusion Therecurrent collapse of upper airway during sleep is assciated with the abnormal position of hyoid bone.

关 键 词：睡眠 呼吸暂停综合征 舌骨 X线头影测量 OSAS 

分 类 号：R563.804[医药卫生—呼吸系统] R813[医药卫生—内科学]