男性儿童OSAS上气道及周围结构X线头影测量研究  

Cephalometry Study of Craniofacial and Upper Airway in Boys with OSAS

作　　者：魏咏华[1] 蔡中[2] 钱玉芬[2] 

机构地区：[1]上海第二医科大学附属瑞金医院口腔科,上海200025 [2]上海第二医科大附属第九人民医院口腔医学院口腔正畸科,上海200011

出　　处：《上海口腔医学》2003年第1期3-6,共4页Shanghai Journal of Stomatology

摘　　要：目的本文旨在对儿童阻塞性睡眠呼吸暂停综合征(简称OSAS)患者的上气道及其周围结构进行X线头影测量研究。方法运用计算机辅助X线头影测量技术,对7例替牙期男性儿童OSAS进行了颅、面、颌、咽部形态特征研究,并与正常儿童作比较。结果替牙期男性OSAS患者颅底长度、腭平面角和下颌平面角均增大,舌体高度增加,舌骨位置下降,舌根和软腭后气道前后径减小,软腭与舌体占整个口咽腔的比例增大。结论儿童OSAS患者的颅、面、颌、咽部结构存在有别于正常儿童的异常特征。X线头影测量是一种简便而实用的评估OSAS的方法,有助于临床诊断和治疗计划的制定。Objective The purpose of the study was to find out craniofacial and upper airway characteristics of boys with OSAS.Methods Craniofacial and upper airway morphology was studied by computerized cephalometric analysis in7mixed dentition boys with OSAS and29healthy boys.Results The main differences of OSAS patients were shown as follows:longer dimension of cranial base with clockwise rotation of palate plane and mandibular plane,increased height of the tongue,inferiorly displaced hyoid bone,decreased sagittal dimension of upper airway in soft palate level and tongue base level.In addition,the tongue and soft palate occupied a larger portion of the oropharyngeal area.Conclusion Patients with OSAS presented multiple abnormalities in craniofacial and upper airway.Cephalometry can be useful in diagnosis and determining the appropriate treatment for

关 键 词：男性儿童 OSAS 上气道 X线头影测量 阻塞性睡眠呼吸暂停综合征 

分 类 号：R788[医药卫生—口腔医学]