电影磁共振及纤维喉镜对阻塞性睡眠呼吸暂停低通气综合征患者上气道阻塞部位检查对比研究

发布时间：2019-05-17 12:13

【摘要】：目的探讨电影磁共振(cine magnetic resonance,CMR)检查及纤维喉镜下Müller试验对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者进行上气道阻塞部位定位的应用价值。方法选取2015年9月~2016年4月到郑州大学第一附属医院咽喉头颈外科就诊并经多导睡眠监测(PSG)及专科检查确诊的阻塞性睡眠呼吸暂停低通气综合征患者22例,于术前行纤维喉镜下Müller试验检查并分别在睡眠及清醒状态下行电影磁共振检查,观察软腭区、舌后区及会厌区狭窄或阻塞发生情况。结果电影磁共振与纤维喉镜下Müller试验对于软腭区阻塞的定位(22例对22例)具有完全的一致性(Kappa=1),而对于舌后区(13例对6例)(Kappa=0.412)、会厌区(4例对2例)(Kappa=0.621)及多部位同时阻塞的定位(13例对6例)(Kappa=0.412),二者一致性一般。结论对多部位阻塞的中重度OSAHS患者,术前应用电影磁共振及纤维喉镜检查能够更好地明确阻塞部位。
[Abstract]:Objective to evaluate the value of film magnetic resonance (cine magnetic resonance,CMR) examination and fiberoptic laryngoscope M 眉 ller test in the localization of upper airway obstruction in patients with obstructive sleep Apnea hypopnea syndrome (obstructive sleep apnea hypopnea syndrome,OSAHS). Methods from September 2015 to April 2016, 22 patients with obstructive sleep Apnea hypopnea syndrome were diagnosed by polysomnography (PSG) and specialist examination in the Department of pharynx, head and neck surgery, the first affiliated Hospital of Zhengzhou University. M 眉 ller test under fiberoptic laryngoscope and film magnetic resonance examination under sleep and awake were performed before operation to observe the occurrence of stenosis or obstruction in soft palatine region, posterior lingual area and epiglottic area. Results the film magnetic resonance imaging and fiberoptic laryngoscope M 眉 ller test had complete consistency (Kappa=1) in the localization of soft palatal obstruction (22 cases vs 22 cases), while for the posterior lingual area (13 cases vs 6 cases) (Kappa=0.412), the localization of soft palatal obstruction was completely consistent (22 cases vs 22 cases), and for the posterior lingual area (13 cases vs 6 cases). Epiglottic area (4 cases for 2 cases) (Kappa=0.621) and simultaneous occlusion (13 cases for 6 cases) (Kappa=0.412) were consistent. Conclusion Film magnetic resonance imaging and fiberoptic laryngoscope can be used to determine the occlusion site in patients with moderate and severe OSAHS with multiple site obstruction before operation.
【作者单位】：郑州大学第一附属医院耳鼻咽喉头颈外科;郑州大学第一附属医院磁共振科;
【基金】：郑州大学第一附属医院院内青年创新基金
【分类号】：R766

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