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[重度和轻度睡眠呼吸暂停患者与对照组的计算机断层扫描头颅测量和咽测量比较研究]

[Comparative computerized tomography cephalometric and pharyngometric studies of patients with severe and mild sleep apnea, and in a control group].

作者信息

Bolitschek J, Gschwendtner M, Mohr E, Aigner K

机构信息

Pneumologische Abteilung, K.H. Elisabethinen, Linz.

出版信息

Pneumologie. 1993 Dec;47 Suppl 4:757-60.

PMID:8153104
Abstract

116 males were examined. Of these, 52 belonged to a control group, whereas 40 had severe obstructive sleep apnoea (apnoea index > 20 + clinical symptoms) and 24 mild obstructive sleep apnoea (apnoea index 5-20 + clinical symptoms) (in the following, OSA signifies obstructive sleep apnoea). Cephalometry and planimetric examinations of the pharynx were performed in recumbent position with the head in neutral position and with shallow respiration. The narrowest passage of the pharynx was measured; other measured sites were the areas of the nasopharynx, oropharynx (at the level of the tip of the palatine uvula) and of the hypopharynx (at the level of the base of the tongue). The sum of all the measured cross-sections was obtained. The cephalogram was evaluated to obtain the length and thickness of the soft palate, the distance between the mandible and hyoid bone, the posterior airspace (PAS), the nuchal subcutaneous fatty tissue at the level of the spine of the second cervical vertebra (also known as axis), the thickness of the posterior pharyngeal wall at the level of the second cervical vertebra, or axis, and the angles between the sella, nasion and superior maxilla and between the sella, nasion and mandible (SNA and SNB, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对116名男性进行了检查。其中,52名属于对照组,40名患有严重阻塞性睡眠呼吸暂停(呼吸暂停指数>20+临床症状),24名患有轻度阻塞性睡眠呼吸暂停(呼吸暂停指数5-20+临床症状)(以下简称OSA表示阻塞性睡眠呼吸暂停)。在仰卧位、头部处于中立位且呼吸浅的状态下对咽部进行头影测量和平面测量检查。测量咽部最狭窄的通道;其他测量部位为鼻咽部、口咽部(在腭垂尖端水平)和下咽(在舌根底部水平)的面积。获得所有测量横截面的总和。对头影测量图进行评估,以获得软腭的长度和厚度、下颌骨与舌骨之间的距离、后气道间隙(PAS)、第二颈椎棘突水平(也称为枢椎)的颈部皮下脂肪组织、第二颈椎或枢椎水平的咽后壁厚度,以及蝶鞍、鼻根与上颌骨之间以及蝶鞍、鼻根与下颌骨之间的角度(分别为SNA和SNB)。(摘要截断于250字)

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