中重度OSAHS患者上气道多平面狭窄MSCT的评估分析  

Evaluation of MSCT of upper airway multiplanar stenosis in patients with moderate to severe OSAHS

作　　者：王家赐[1] 李亮[1] 朱吉鹏[1] WANG Jiaci;LI Liang;ZHU Jipeng(General Department,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]广东省中山市中医院综合科,广东中山528400

出　　处：《中国医药科学》2020年第3期200-203,共4页China Medicine And Pharmacy

摘　　要：目的探讨多层螺旋CT(MSCT)扫描技术在评估中重度OSAHS患者上气道多平面狭窄诊断中的效果及价值。方法对经多导睡眠监测仪(PSG)确诊的100例中重度OSAHS患者行多层螺旋CT扫描,同时对50例正常对照者进行上气道MSCT扫描,分别测量舌后区、腭后区2个平面气道的最小横截面积及前后径、左右径和咽壁厚度,判断中重度0SAHS患者上气道的狭窄平面。结果根据测量结果,被测量的50例正常成年人的上气道的2个平面的横截面积参考值分别为舌后区为200mm2,腭后区为175mm2。同时,本研究中100例中重度OSAHS患者中单纯腭后区狭窄56例,单纯舌后区狭窄18例,腭后区及舌后区同时狭窄26例,根据数据观察可知,狭窄平面主要存在于腭后区。结论MSCT能较全面评估中重度OSAHS患者上气道情况,在评估中重度OSAHS上气道多平面狭窄中具有较高的临床价值,可以为临床病情评估、制定治疗方案提供重要依据。Objective To explore the effect and value of multi-slice spiral CT(MSCT)scanning technique in diagnosis of upper airway multiplanar stenosis in patients with moderate to severe OSAHS.Methods One hundred patients with moderate to severe OSAHS who were diagnosed by polysomnography(PSG)underwent multi-slice spiral CT.Meanwhile,50 normal people underwent upper airway MSCT scan at the same time.The minimum cross-sectional area,anteroposterior diameter,left and right diameter and pharyngeal wall thickness of the two planar airways in the posterior tongue and posterior palatal region were measured separately to diagnosis of upper airway multiplanar stenosis in patients with moderate to severe OSAHS.Results According to the measurement results,the reference values of the cross-sectional areas of the two planes of the upper airway of the positive 50 normal adults were 200mm2 in the posterior tongue region and 175mm2 in the posterior palatal region.At the same time,in 100 patients with moderate to severe OSAHS,there were 56 cases of stenosis of posterior palatal region,18 cases of stenosis of simple posterior tongue region and 26 cases of stenosis of posterior palatal region and posterior tongue region.According to the data observation,the stenotic plane mainly existed in the posterior palatal region.Conclusion MSCT can comprehensively evaluate the upper airway status of patients with moderate to severe OSAHS,which has a high clinical value in the evaluation of upper airway multiplanar stenosis in moderate and severe OSAHS.It can provide an important basis for clinical disease assessment and treatment planning.

关 键 词：中重度阻塞性睡眠呼吸暂停综合征 上气道 多平面狭窄 多层螺旋CT 

分 类 号：R445.3[医药卫生—影像医学与核医学]