中国全科医学2018，Vol.21Issue(17)：2072-2076,5.DOI:10.3969/j.issn.1007-9572.2017.00.188
纤维鼻咽镜与磁共振成像定位男性阻塞性睡眠呼吸暂停低通气综合征患者上呼吸道阻塞平面的一致性研究
Localization of Upper Airway Obstruction in Male OSAHS Patients:a Comparative Study of Fibre Nasopharyngoscopy and Magnetic Resonance Imaging
摘要
Abstract
Objective To investigate the results of upper airway parameters and localization of upper airway obstruction in males with varying degrees of obstructive sleep apnea hypopnea syndrome(OSAHS) detected by fibre nasopharyngoscopy(FN) versus magnetic resonance imaging(MRI),and based on this,to analyze the correlation and consistency of the two methods for the localization of upper airway obstruction in these patients.Methods We enrolled 93 OSAHS patients who received treatment in Department of Otolaryngology,Head and Neck Surgery,Jinhua Central Hospital from May 2014 to December 2015,including 32 with mild OSAHS(mild group),31 with moderate OSAHS(moderate group),and 30 with severe OSAHS(severe group).The collapse degree of the hinder parts of the soft palate,the tongue and epiglottis was measured with FN.The cross-sectional area,left-right dimension and front-back dimension of the hinder part and thickness of pharyngeal wall of the soft palate,the tongue and the epiglottis were measured by MRI.SPSS 15.0 statistical software was applied to analyze the measurement results of the two methods.Results The collapse degree,cross-sectional area,left-right dimension and front-back dimension of the hinder part of the soft palate,the tongue and epiglottis,and the lateral wall thickness of the epiglottis differed significantly between the three groups(P<0.05).Pearson correlation analysis found that,the collapse degree and the cross-sectional area of hinder part of epiglottis were positively correlated in the mild group(r=0.53,P=0.002), while they were negatively correlated in the moderate group(r=-0.53,P=0.002).The results of localization of upper airway obstruction by FN were consistency with MRI(Kappa=0.390,P=0.007).Conclusion Both FN and MRI can detect the airway soft tissue compliance and anatomical features in patients with varying degrees of OSAHS,but for the localization of upper airway obstruction,they have no correlation and consistency.Therefore,in order to comprehensively assess the upper airway obstruction in these patients,these two methods can be used together.关键词
睡眠呼吸暂停,阻塞性/磁共振成像/纤维鼻咽镜Key words
Sleep apnea,obstructive/Magnetic resonance imaging/Fibres nasopharyngoscope分类
医药卫生引用本文复制引用
冯国飞,王翰青,诸葛盼,尤慧华..纤维鼻咽镜与磁共振成像定位男性阻塞性睡眠呼吸暂停低通气综合征患者上呼吸道阻塞平面的一致性研究[J].中国全科医学,2018,21(17):2072-2076,5.基金项目
浙江省金华市科技局重点项目(2014-3-004) （2014-3-004）
