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[阻塞性睡眠呼吸暂停综合征的CT研究]

[CT studies on obstructive sleep apnea syndrome].

作者信息

Ren X B

机构信息

Peking Union Medical College Hospital, Beijing.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1992 Apr;15(2):103-5, 128.

PMID:1394589
Abstract

To ascertain whether there are structural and functional changes in the upper airway of obstructive sleep apnea syndrome (OSAS) pts. We studied 33 pts of OSAS with positive polysomnographic tests, 14 pts of non-apnea snore with negative polysomnographic tests, and 18 normal subject by using CT scanner (Somatom Dr 3). The results are as followings 1. There were narrowing region in the upper airway in OSAS pts and the non-apnea snore pts. Most of the narrowings were located at the level of oropharynx, which was correspondent to the level of the soft palate and the uvula. The length of the soft palate and the pre-spinal soft tissue thickness of two groups of pts were larger than non-snore individual. 2. The pharyngeal compliance was significantly higher in OSAS pts than in non-apnea snore pts. 3. There was no localised deposition of fat tissue surrounding the lumen of upper airway. 4. CT scanning is the non-invasive and more useful procedure for the diagnosis of OSAS and also would help to select the pts for surgery.

摘要

为确定阻塞性睡眠呼吸暂停综合征(OSAS)患者上气道是否存在结构和功能改变。我们使用CT扫描仪(Somatom Dr 3)对33例多导睡眠图检查阳性的OSAS患者、14例多导睡眠图检查阴性的非呼吸暂停性打鼾患者以及18名正常受试者进行了研究。结果如下:1. OSAS患者和非呼吸暂停性打鼾患者的上气道均存在狭窄区域。大多数狭窄位于口咽水平,这与软腭和悬雍垂的水平相对应。两组患者的软腭长度和脊柱前软组织厚度均大于非打鼾个体。2. OSAS患者的咽部顺应性显著高于非呼吸暂停性打鼾患者。3. 上气道管腔周围没有脂肪组织的局部沉积。4. CT扫描是诊断OSAS的无创且更有用的方法,也有助于选择手术患者。

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