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[阻塞性睡眠呼吸暂停低通气综合征患者悬雍垂腭咽成形术前后多导睡眠图参数与上气道CT测量的相关性研究]

[Correlation study between PSG parameters and CT measurements in upper airway of OSAHS patients before and after UPPP].

作者信息

Huang Wei, Song Litao, Ye Qing, Yue Heying, Hu Hua, Yu Yuejin, Hao Yanan, Tan Jun, Fan Yongjiang

机构信息

Department of Otolaryngology, Shanghai Seventh People's Hospital, Shanghai, 200137, China.

Department of Radiology, Shanghai Seventh People's Hospital, Shanghai, 200137, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Aug;27(15):827-9.

Abstract

OBJECTIVE

To investigate the correlation of polysomnography parameters and CT measurements in upper airway of mild and severe obstructive sleep apnea hypopnea syndrome (OSAHS) patients before and after uvulopalatopharyngoplasty (UPPP).

METHOD

Having PSG detection and spiral computed tomograph scan for 30 mild and severe OSAHS patients both before and after UPPP operation, compare the morphology change of upper airway on CT measurements, use pearson correlation analysis to analysis the correlation between the minimum cross-sectional area, left and right diameter, anteroposterior diameter in upper airway and apnea hypopnea index (AHI).

RESULT

The difference of the minimum cross-sectional area, left and right diameter, anteroposterior diameter in upper airway before and after UPPP operation was significant. The minimum cross-sectional area, left and right diameter was negatively correlated with AHI; Left and right diameter was not correlated with AHI.

CONCLUSION

The minimum cross-sectional area, left and right diameter, anteroposterior diameter after operation is bigger than before operation. The minimum cross-sectional area, left and right diameter is negatively correlated with AHI.

摘要

目的

探讨轻、重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者悬雍垂腭咽成形术(UPPP)前后多导睡眠图参数与上气道CT测量值的相关性。

方法

对30例轻、重度OSAHS患者在UPPP手术前后进行多导睡眠图(PSG)检测及螺旋CT扫描,比较CT测量上气道形态变化,采用Pearson相关分析上气道最小截面积、左右径、前后径与呼吸暂停低通气指数(AHI)之间的相关性。

结果

UPPP手术前后上气道最小截面积、左右径、前后径差异有统计学意义。最小截面积、左右径与AHI呈负相关;前后径与AHI无相关性。

结论

术后最小截面积、左右径、前后径均较术前增大。最小截面积、左右径与AHI呈负相关。

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