OSAHS患者清醒状态下上气道螺旋CT测量的临床应用价值  

The feasibility of multi-slice spiral CT in awaken patients with OSAHS

作　　者：储洪娟[1] 吕静瑶[1] 蔡志毅[1] 李军苗[1] 

机构地区：[1]浙江省台州市立医院耳鼻咽喉头颈外科,浙江台州318000

出　　处：《中国现代医生》2014年第29期1-3,共3页China Modern Doctor

基　　金：浙江省医药卫生科学研究基金计划(2010KYB128)

摘　　要：目的探讨OSAHS患者清醒状态下上气道螺旋CT测量的临床应用价值。方法对经多导睡眠监测仪(PSG)确诊的104例OSAHS患者行多层螺旋CT扫描,测量其清醒状态下的软腭后区和舌后区横截面积、前后径、左右径及咽壁厚度,比较其与25例正常人各解剖数据的差异。结果不同程度OSAHS患者上呼吸道横截面积均小于对照组,差异有统计学意义(P<0.05);OSAHS程度越重,相应的气道面积越狭窄,咽壁厚度越大。结论OSAHS患者存在上呼吸道狭窄,应用多层螺旋CT扫描测量可以有效判断上气道狭窄的部位和程度。Objective To explore the clinical value of spiral CT airway measurements on awake patients under OSAHS discussed. Methods The upper airway of 104 patients with OSAHS diagnosed with polysomnography （PSG） and 25 nor-mal controls were examined and compared. The cross-sectional areas, diameters, and the thickness of the pharyngeal wall of retropalate, lingua regions planes were scanned by MSCT scan in the waking state. Results The cross-section areas of upper airway of OSAHS were significantly smaller than those of the control group, the difference was significant （P〈0.05）. The cross-section areas decreased and the thickness of pharyngeal walls increased with the increase of severity of OSAHS. Conclusion Patients with OSAHS has upper airway anatomic strictures. MSCT scan can effectively localize the obstructed site and degree of upper airway accurately.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 上呼吸道 X线计算机 

分 类 号：R766[医药卫生—耳鼻咽喉科]