上气道测压和螺旋CT联合定位不同程度OSAHS阻塞平面的临床研究  

Evaluation of upper airway obstruction site in OSAHS by apneagraph and spiral CT

作　　者：储洪娟[1] 吕静瑶[1] 李勇[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30期130-132,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2010KYB128)

摘　　要：目的研究睡眠监测阻塞定位仪(Apneagraphym,AG200)联合螺旋CT在评估不同程度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者上气道阻塞平面中的临床应用价值。方法采用睡眠监测阻塞定位仪对经PSG确诊的22例中度和18例重度OSAHS患者进行整夜睡眠呼吸监测,应用多层螺旋CT测量软腭后区、舌后区平面的横截面积。对比联合应用AG200和螺旋CT定位诊断不同程度OSAHS阻塞平面的价值。结果 AG200和螺旋CT检查均能很好地判断OSAHS患者上气道阻塞平面。对于中、重度OSAHS患者阻塞平面的判断两者之间的差异无统计学意义(P>0.05)。结论 AG200和螺旋CT检查对OSAHS患者上气道阻塞均具有诊断意义,联合应用两种检查手段可以明确提高OSAHS患者,尤其对重度患者的诊断阳性率,为临床提供更可靠的治疗依据。Objective To evaluate the clinical value of Apneagraph（AG200） and CT scan in diagnosing obstructive sleep apnea hypopnea syndrome（OSAHS）. Methods Twenty-two moderate and 18 severe obstructive sleep apnea hypopnea syndrome（OSAHS） patients diagnosed by polysomnography（PSG） performed one-night pressure monitoring by Apneagraph, the apnea hypopnea index（AHI）,the site of upper airway callapse and the obstructive proportion of different level. The cross-sectional areas of the pharyngeal wall of retropalate, lingua regions planes were scanned by MSCT scan in the waking state were analyzed. The obstruction levels determined by pressure monitored and found in CT screening were compared. Results Apneagraph and CT scan had good performance in the diagnosis of OSAHS. There was no difference between two methods（P〉0.05）. Conclusion Apneagraph and CT scan can serve as a useful device to diagnose OSAHS.The diagnostic rate of OSAHS（especially severe OSAHS） can be elevated by combining Apneagraph and CT scan.

关 键 词：阻塞性睡眠呼吸暂停 上气道测压法 多导睡眠描记仪 体层摄影术 

分 类 号：R766[医药卫生—耳鼻咽喉科]