阻塞性睡眠呼吸暂停综合征咽壁顺应性的定量评估.docVIP

阻塞性睡眠呼吸暂停综合征咽壁顺应性的定量评估 第10卷第12期 2004年l2月 中国内镜杂志 ChinaJournalofEndoscopy Vo1.1ONO.12 Dec.2Oo4 文章编号:1007-1989(2004)12—0001—03 阻塞性睡眠呼吸暂停综合征咽壁 顺应性的定量评估 李树华,石洪金,董卫东,王桂茹,余建辉 (解放军沈阳军区总医院耳鼻咽喉科,辽宁沈阳110015) ? 论着? 摘要:目的比较阻塞性睡眠呼吸暂停综合征(obstructivesleepapneasyndrome,osAs)患者和对照组上呼 吸道咽壁顺应性的差别.方法经PSG确诊的OSAS患者和正常人各34人,以纤维内窥镜观察平静呼吸和 Muller-~作时上呼吸道各平面形态的变化,利用图像分析软件计算咽壁顺应性,比较两组问的差别.结果软 腭后区和舌后区的咽侧壁,咽前后壁和总咽壁顺应性在对照组和OSAS患者闯差异均存在极显着性.无论是对 照组还是OSAS患者,其软腭后区的咽壁顺应性均大于舌后区的咽壁顺应性,咽侧壁顺应性均大于咽前后壁顺 应性.结论OSAS患者和对照组的上呼吸道咽壁顺应性差别明显,咽壁顺应性增大是OSAS发病的重要因素 之一. 关键词:阻塞性睡眠呼吸暂停综合征;纤维内窥镜;上呼吸道;气道梗阻;咽壁顺应性;图像分析 中圈分类号:K766.9文献标识码: Quantitativeevaluationofpharynxwallresilienceof OSASbyfibreendoscopewiththeMullermaneuver LIShu-hua,SHIHong-jin,DONGWei-dong,WANGGui-ru,YUJian-hui (DepartmentofOtolaryngology,ShenyangGeneralHospitalofPLA, Shenyang,Lhzon/ng110015,P.R.China) Abstract:Objective:Toexplorethedifferenceofpharynxwallresilience(PWR)betweentheOSASpatients andnormaladults.Methods:34patientswithOSASand34normaladultswereincludedinthestudy.Thefibreen- doscopicphotoweretakenonpalateandlinguaregionupperairwayatnormalbreathand-40cmH. ,Oupperairway negativepressureindoingMullermaneuver,respectively.Thecrosssectionareaandthedimensionofpalateand linguaregionupperairwaywasstudiedbyrunningimagetoolssoftwareincomputer,andthetotalpharynxwallre- silienceqPwR),lateralpharynxwallresilienceCLPWR)andfore-to-aftpharynxwallresilience(FAPWR)atpalate andlinguaregionupperairwaywerecalculated.Results:BetweenOSASpatientsandnormaladults,therewereob- viouslydifferenceintheIP1,LPWRandFAPⅣRofpalateandlinguaresionupperairway.TherPWR.LPWR andFAPWRofpalateregionupperairwayweremuchmorethanthatoflinguare#o.upperairway.TheLPWRWas muchmorethanFAPWRinbothpalateandlinguareinupperairway.Condusion:Thepharynxwallresilienceof OSASpatientsismuchmorethanthatofnormaladults,andtheincreasingofpharynxwallresilienceisoneofOSAS etiology. Keywords:obstructivesleepapneasyndrome(0SAS);fibreendoscope;upperairway;obstructionofairway; pharynxwallresilience;imagetools CLCll