Niu Yan , Zhang Yue , Bai Zhong , Yang Xiao Hong , Wu Hai Ying , Cao Shou Ming , Ma Yan , Lv Cao . The Application of 256-Slice Spiral CT in the Diagnosis of Obstructive Sleep Apnea Hypopnea Syndrome[J]. Journal of Kunming Medical University, 2018, 39(08): 55-58.
Citation: Niu Yan , Zhang Yue , Bai Zhong , Yang Xiao Hong , Wu Hai Ying , Cao Shou Ming , Ma Yan , Lv Cao . The Application of 256-Slice Spiral CT in the Diagnosis of Obstructive Sleep Apnea Hypopnea Syndrome[J]. Journal of Kunming Medical University, 2018, 39(08): 55-58.

The Application of 256-Slice Spiral CT in the Diagnosis of Obstructive Sleep Apnea Hypopnea Syndrome

Funds:

基金: 云南省医疗卫生单位内设机构研究基金资助项目 (2016NS290); 云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2017FE467);

  • Received Date: 2018-04-19
  • Objective To measure the upper airway of obstructive sleep apnea hypopnea syndrome by 256 slice spiril CT, and to access the airway obstruction plane with the airway plane data in OSAHS patients.Through these measurements, we can provide assistance for clinical diagnosis and treatment.Methods This study randomly selected 178 patients diagnosed with OSAHS and 110 cases non-snoring healthy people as the control group by the Philips 256 slice CT.Under the nasopharyngeal area, velopharyngeal area, glossopharyngeal area, epiglottis area, we measured the cross-sectional area and volume of the narrowest plane in the two groups of quiet respiration and Müller status.Results The OSAHS group underwent quiet respiration and Müller status during CT scanning, and the two states about epiglottis area in cross-sectional area and volume had no significant difference, Other groups had differences between the parameters.There was a significant difference in the volume about velopharyngeal area and glossopharyngeal area. In the control group undergoing quiet respiration and Müller status during CT scanning, there was difference in velopharyngeal cross-sectional area.Other parameters had no significant difference.Conclusions The obstruction plate of OSAHS patients with 256-slice spiril CT measurement is mostly in the velopharyngeal area and glossopharyngeal area. The volume measurement of upper airway by CT can predict airway obstruction plate in patients with OSAHS.
  • loading
  • [1]王志文, 许凌云, 刘建军.阻塞性睡眠呼吸暂停低通气综合征上气道双源CT和测压检查诊断价值的对照研究[J].临床放射学杂志, 2012, 31 (9) :1270-1273.
    [2]钮燕, 郑明秀.阻塞性睡眠呼吸暂停低通气综合征阻塞平面的测量方法及临床评价[J].临床耳鼻咽喉头颈外科杂志, 2010, 24 (6) :285-288.
    [3]李树华, 高丽, 邹明宇, 等.呼吸面罩内压力变化对阻塞性睡眠呼吸暂停低通气综合征患者上呼吸道形态的影响[J].临床耳鼻咽喉头颈外科杂志, 2008, 22 (15) :673-676.
    [4]周旭, 王建中, 刘骏桢.CT术前评估中重度阻塞性睡眠呼吸暂停低通气综合征 (OSAHS) 悬雍垂腭咽成形术 (UPPP) 的远期疗效[J].复旦学报, 2013, 40 (6) :661-667.
    [5]中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志, 2009, 44 (2) :95-96.
    [6]岑人丽, 陈苓, 曾庆思, 等.OSAHS患者清醒及诱导睡眠状态下多层螺旋CT扫描方法及临床价值[J].中国医学影像学杂志, 2008, 16 (3) :189-191.
    [7]张永康, 杨燕, 李国晖.128层螺旋CT评价阻塞性睡眠呼吸暂停综合征的应用价值[J].昆明医科大学学报, 2017, 38 (01) :57-60.
    [8]魏开轩, 齐荣祥, 石崧, 等.睡眠监测及上气道阻塞定位系统在阻塞性睡眠呼吸暂停低通气综合征术前诊断中的应用[J].第二军医大学学报, 2015, 36 (8) :858-861.
    [9]蒋桃根, 晁杰伟, 曹剑, 等.清醒及诱导睡眠状态下电子喉镜对阻塞性睡眠呼吸暂停低通气综合征定位诊断的比较[J].临床耳鼻咽喉头颈外科杂志, 2009, 23 (9) :397-399.
    [10]张宏伟.飞利浦极速CT (Brilliance i CT) [J].中国医疗设备, 2009, 24 (3) :133-134.
    [11]飞利浦公司.极速CT (Brilliance i CT) 中国用户应用调查报告[J].中国医院院长, 2009, 1 (13) :68-69.
    [12]朱剑萍, 赵宁辉, 严植, 等.256排螺旋CT灌注成像对颅骨修补前后脑血流变化的影响[J].昆明医科大学学报, 2016, 37 (07) :48-52.
    [13]殷开善, 易红良, 曹振宇.上气道阻塞定位//阻塞性睡眠呼吸暂停低通气综合征[M].北京:科学技术文献出版社, 2006:73-95.
    [14]王凯, 董明敏.CT三维重建评估OSAHS患者上气道一期成形术效果[J].临床耳鼻咽喉头颈外科杂志, 2012, 26 (3) :104-107.
    [15]周玫, 江满杰, 程友, 等.螺旋CT在诊断阻塞性睡眠呼吸暂停低通气综合征患者咽部阻塞平面中的应用[J].临床耳鼻咽喉头颈外科杂志, 2008, 22 (13) :600-602.
    [16]李彦如, 韩德民, 叶京英, 等.阻塞性睡眠呼吸暂停患者咽腔阻塞的整夜定位及影响因素分析[J].中华耳鼻咽喉头颈外科杂志, 2006, 41 (6) :437-442.
    [17]张文伟, 邱杰, 张忻宇.阻塞性睡眠呼吸暂停低通气综合征患者上气道CT测量及临床意义[J].临床放射学杂志, 2013, 32 (4) :499-502.
    [18]钮燕, 白忠, 杨晓红, 等.阻塞性睡眠呼吸暂停低通气综合征患者上气道极速CT测量[J].临床耳鼻咽喉头颈外科杂志, 2014, 28 (3) :143-148.
    [19]周敬, 鲁沈源, 励雯静, 等.148例鼾症及阻塞性睡眠呼吸暂停低通气综合征危险因素的分析[J].复旦学报 (医学版) , 2010, 37 (02) :207-210.
    [20]尹国平, 叶京英, 常青林.阻塞性睡眠呼吸暂停低通气综合征患者咽腔容积测量[J].中国耳鼻咽喉头颈外科, 2008, 15 (2) :103-106.
    [21]刘伟, 陈刚, 王卉.阻塞性睡眠呼吸暂停低通气综合征患者上气道CT测量研究[J].医学影像学杂志, 2016, 26 (6) :1017-1021.
    [22]
    [22]GRAUER D, CEVIDANES L S, STYNER M A, et al.Pharyngeal airway volume and shape from cone-beam computed tomography:Relationship to facial morphology[J].American Journal of Orthodontics and Dentofacial Orthopedics, 2009, 136 (6) :805-814.
    [23]
    [23]YING XIAO, XIONG CHEN, HE SHUI SHI, et al.Evaluation of airway obstruction of at soft palate level in male patients with obstructive sleep apnea/hpopnea syndrome:dynamic 3-dimensional CT Imaging of upper Airway[J].Huazhong Univ Sci Technol (Doi10.100/sii596-011-0392-5) , 2011, 31 (3) :413-418.
    [24]
    [24]CAMERON ABOUDARA, NIELSEN I B, JOHN C, et al.Comparison of airway space with conventional lateral headfilms and 3-dimensional reconstruction from cone-beam computed tomography[J].American Journal of Orthodontics and Dentofacial Orthopedics, 2009, 135 (4) :468-479.
  • Relative Articles

    [1] Wen-hui DONG, Xu ZOU, Zhong GONG, Li-qin SU, Hui-ying LI, Han ZHANG. Feasibility Analysis of the NOSAS Score as A Screening Tool for Obstructive Sleep Apnea in the Physical Examination Population. Journal of Kunming Medical University, 2021, 42(5): 48-53.  doi: 10.12259/j.issn.2095-610X.S20210509
    [2] Jin-yan ZU, Fan LOU, Cheng MING, guo LI, Ying-qin GAO, Jing MA. Assessment of Nasal Resistance Measurement in the Diagnosis and Treatment of OSA in Children. Journal of Kunming Medical University, 2021, 42(12): 101-105.  doi: 10.12259/j.issn.2095-610X.S20211227
    [3] Chun-Xia HE, Zhi-Juan LIU, Li AI, Yong-Xia LI. Coagulation Function in Patients with Obstructive Sleep Apnea Hypopnea. Journal of Kunming Medical University, 2020, 41(12): 123-127.  doi: 10.12259/j.issn.2095-610X.S20201235
    [4] Lou Fan , Zhang Tie Song , Ma Jing , Lin Ken , Zhao Li Ping . . Journal of Kunming Medical University, 2020, 41(07): 94-98.
    [5] Li Kong Long , Chen Jing , Zhao Ling , Shu Jun Ran , Ke Ting Yu . . Journal of Kunming Medical University, 2019, 40(10): 89-94.
    [6] Huang Li , Huang Xian Xiang . A Study of the Level Expression and Clinical Efficacy of Noninvasive Mechanical Ventilation in the Treatment of Insulin-like Growth Factor Ⅰ, Ⅱ and Cathepsin B in Patients with Chronic Obstructive Pulmonary Disease. Journal of Kunming Medical University, 2018, 39(08): 74-79.
    [7] Rao Yu , Lei Wen , Li Yue Qiu , Li Mi , Feng Jian Qiong , Wang An Min , Wang Ying . Expression of IL-17 in Patients with Both PE and OSAHS and Its Clinical Significance. Journal of Kunming Medical University, 2018, 39(03): 72-76.
    [8] Wu Hai Ying , Cao Shou Ming , Shi Bin , Bai Zhong , Li Yong Xia . Chemerin in Obstructive Sleep Apnea-hypopnea Patients' Pharyngeal Fat Deposition. Journal of Kunming Medical University, 2018, 39(01): 77-80.
    [9] Liu Jian Hong , Zhou Ji Bo . . Journal of Kunming Medical University, 2017, 38(03): 39-42.
    [10] Zhang Yong Kang , Yang Yan , Li Guo Hui . Value of 128-slice CT in Evaluation of Obstructive Sleep Apnea Syndrome. Journal of Kunming Medical University, 2017, 38(01): 57-60.
    [11] Liu Rong . . Journal of Kunming Medical University,
    [12] Fan Min Juan . . Journal of Kunming Medical University,
    [13] Deng Xiao Ming . . Journal of Kunming Medical University,
    [14] Ke Ting Yu . . Journal of Kunming Medical University,
    [15] Dong Yu . . Journal of Kunming Medical University,
    [16] Wang Chang Jie . . Journal of Kunming Medical University,
    [17] Wang Hui Ming . . Journal of Kunming Medical University,
    [18] Yan Xiao Hong . . Journal of Kunming Medical University,
    [19] He Qin . . Journal of Kunming Medical University,
    [20] . Clinic Analysis of COPD Patients Complicated with Pulmonary Embolism. Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2201) PDF downloads(77) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return