CT―MPR呼吸道测量在阻塞性睡眠呼吸暂停综合征上呼吸道狭窄定位诊断中意义.docVIP

CT―MPR呼吸道测量在阻塞性睡眠呼吸暂停综合征上呼吸道狭窄定位诊断中意义 　　[摘要] 目的 探讨CT-MPR呼吸道测量在阻塞性睡眠呼吸暂停综合征上呼吸道狭窄定位诊断中的意义。 方法 选取2012年5月～2014年4月我院接收的43例阻塞性睡眠呼吸暂停综合征患者为实验1组，33例阻塞性睡眠呼吸暂停发作时上呼吸道狭窄患者为实验2组，另选取43例健康人为对照组。经螺旋CT对所有患者自鼻咽顶部至环状软骨下缘进行平扫检测，同时采用MPR图像处理技术对所有患者上呼吸道的4个平面的横截面积、前后径等指标进行测量，观察对比对照组与实验1组及实验2组的上呼吸道测量数值。 结果 实验1组的舌后区、悬雍垂区及软腭后区的横截面积比对照组小，差异有统计学意义（P0.05）；实验1组4个平面左右径均比对照组小，差异有统计学意义（P0.05）；实验1组的悬雍垂区前后径比对照组小，差异有统计学意义（P0.05）；实验1组4个平面的咽侧壁软组织厚度比对照组大，差异有统计学意义（P0.05）；实验1组两个平面（悬雍垂区、软腭后区）咽后壁软组织厚度比对照组大，差异有统计学意义（P0.05）。 结论 CT-MPR呼吸道测量对确定阻塞性睡眠呼吸暂停综合征患者的上呼吸道狭窄部位极其有益，具有极高的诊断价值，值得推广应用。 　　[关键词] 上呼吸道狭窄；阻塞性睡眠呼吸暂停综合征；CT-MPR呼吸道测量 　　[中图分类号] R766 [文献标识码] A [文章编号] 1673-9701（2015）08-0001-04 　　[Abstract] Objective To study the value of CT-MPR respiratory measurement in the location diagnosis of upper airway stricture of obstructive sleep apnea syndrome. Methods From May 2012 to April 2014， 43 cases of patients with obstructive sleep apnea syndrome were selected as the experimental group 1， 33 cases of patients with upper airway obstruction sleep apnea syndrome were selected as the experimental group 2， 43 cases of healthy people were selected as the control group. All patients were detected by spiral CT scan from the top of nasopharyngeal to the inferior border of the cricoid cartilage， the index of the 4 plane in patient’s upper respiratory tract such as cross sectional area， anteroposterior diameter were measured by the technology of MPR image processing， the measured values of upper respiratory tract of the control group， experimental group 1 and experimental group 2 were observed and compared. Results The cross sectional area of the lingual region， uvula region and posterior region of the soft palate in the experimental group 1 was smaller than that of the control group， and the difference in data between the two groups was statistically significant（P 　　[Key words] Upper airway stricture； Obstructive sleep apnea syndrome； CT-MPR respiratory measurement 　　阻塞性睡眠呼吸暂停综合征又称OSAS，属于中老年群体多发病。据相关报道显示，无论上呼吸道的舌后区、悬雍垂区