中国耳鼻咽喉头颈外科2016，Vol.23Issue(4)：196-200,5.DOI:10.16066/j.1672-7002.2016.04.004
阻塞性睡眠呼吸暂停低通气综合征患者自然睡眠时上气道及相关结构电影磁共振测量研究
Study on measurements of upper airway in obstructive sleep apnea hypopnea syndrome during natural sleep by cine magnetic resonance
摘要
Abstract
[ABSTRACT]OBJECTIVETo assess the upper airway and related structures in different patterns of the upper airway obstruction on cine magnetic resonance (CMR) imaging in patients with obstructive sleep apnea hypopnea syndrome (OSAHS).METHODSCMR images of upper airway were obtained in 30 male patients with severe OSAHS during waking state and natural sleep. The midsagittal plane images were obtained. Patients were classified into 3 groups based on the upper airway obstruction patterns at apnea events and the reference data of the upper airway were measured.RESULTSDuring natural sleep, the diameter of retropalatal region, retroglossal region, retroepiglottic region and the length of suprahyoid muscles were significantly shorter than those during waking state (P<0.01). The maximum angle between the suprahyoid muscles and the apex of the tongue during natural sleep was significantly larger than that during waking state (P<0.01). During wakefulness, there was a significantly difference in the diameter of retropalatal region among 3 obstruction patterns (P<0.01). During natural sleep, there were statistical difference in the diameter of retropalatal region and the upper tongue, the angle between the hard palate and soft palate, the maximum angle between the suprahyoid muscles and the apex of the tongue, and their change values among 3 obstruction patterns (P<0.05). CONCLUSIONThe measurements of the upper airway and related structures on CMR imaging in OSAHS patients could provide useful information in assessing upper airway.关键词
睡眠呼吸暂停,阻塞性/磁共振成像,电影/自然睡眠Key words
Sleep Apnea, Obstructive/Magnetic Resonance Imaging, Cine/natural sleep引用本文复制引用
李铮,鲜军舫,叶京英,黄亚奇,王存亭..阻塞性睡眠呼吸暂停低通气综合征患者自然睡眠时上气道及相关结构电影磁共振测量研究[J].中国耳鼻咽喉头颈外科,2016,23(4):196-200,5.基金项目
中国博士后科学基金面上资助项目（2011M500026）和北京市卫生系统高层次卫生技术人才学科带头人项目（20142005）联合资助 （）
