干旱区生态环境知识资源中心(Arid): 睡眠呼吸紊乱儿童上气道结构的MRI研究

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	睡眠呼吸紊乱儿童上气道结构的MRI研究
其他题名	Magnetic resonance imaging of the upper airway structure of children with sleep disordered breathing
	倪丽艳 1; 周永海 2; 蔡晓红 2; 项松洁 1; 杨继红 1; 刘国钧 1; 许崇永 3; 刘学军 1
ISSN	1673-0860
出版年	2007
卷号	42 期号:2 页码:104-108
中文摘要	目的探讨睡眠呼吸紊乱儿童上气道结构的特点。方法选择阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hyponea syndrom，OSAHS）组73例，原发性鼾症（primary snoring，Ps）组53例，对照组40例，进行咽、喉部睡眠状态下MRI检查。根据MRI结果对上气道相关空间结构、软组织和骨性结构进行多点测量。结果OSAHS组与PS组鼻咽气道截面积、腭咽气道截面积比对照组明显减小（P〈0．01），OSAHS组与PS组之间比较差异也有统计学意义；口咽气道截面积也均减小（P〈0，01），但睡眠呼吸紊乱两组之间比较差异无统计学意义。软组织测量：OSAHS组软腭截面积、软腭长度较对照组增大（P〈0．01），PS组无改变，OSAHS与Ps组比较差异有统计学意义（P〈0．05）；OSAHS组和PS组比对照组腺样体截面积增大、长度增宽，扁桃体截面积增大（P值均〈0．01），两组之间比较差异也有统计学意义；软腭厚度、舌体截面积、脂肪垫截面积、翼状肌截面积三组之间比较差异均无统计学意义。骨性结构测量：OSAHS组H-C2C3增长，颈舌角缩小（P值均〈0．01），PS组无改变。颈会厌角、硬腭长度、颏骨棘-斜坡间距离、下颌骨截面积、两侧下颌骨间距离三组之间比较差异均无统计学意义。结论OSAHS与PS组儿童因腺样体、扁桃体肥大致气道阻塞。软腭的增大加重了腭咽气道的阻塞，舌骨的下移与颈舌角变小影响了喉咽气道。MRI能较全面了解上气道结构，在儿童上气道阻塞诊断中有重要价值。
英文摘要	Objective To investigate the upper airway structure of sleep-disordered breathing children. Methods Seventy three children with obstructive sleep apnea hypopnea syndrome （OSAHS） ,53 children with primary snoring（PS） and 40 control subjects underwent pharyngeal magnetic resonance imaging （MRI）. Upper airway structure images were analyzed and measured. Results The cross-section area of the nasopharyngeal and palatopharyngeal airway in subjects with OSAHS and PS are smaller（ P 〈 0. 01 ）than that of the control group. The cross section area of OSAHS patients are smaller than that of PS subjects （P 〈 0. 01 ）. The above parameter of oropharyngeal airway in OSAHS patients is smaller than that of control group（P 〈0. 01 ）, but no statistic difference compared with that of PS subjects. The cross-section area and length of the adenoid in OSAHS group are bigger and longer than that of PS group （P 〈0. 01. and bilateral tonsils are larger （P 〈 0. 01 ; in OSAHS patients the cross-section area of the soft palate is larger and the length of the soft palate is longer （P 〈 0. 01 ） than that of PS group, while this parameter of PS group is similar to that of the control group. And the maximum width of the soft palate, the cross-section area of bilateral fat pad, bilateral pterygoid and tongue are similar among OSAHS, PS and the control group. The skeletal measurement： the length of H-C2C3 in subjects with OSAHS is longer （P 〈 0. 01 ） ;The angle（alpha） in OSAHS patients is smaller （P 〈0.01 ） than that of other 2 groups, the angle （beta）, the cross-section area of the mandible, the spine-clivus oblique, the length of the hard palate and the distance of the mandible are similar among the three groups. Conclusions In children with OSAHS or PS,the upper airway is restricted by both the adenoid arid tonsils; however, the soft palate is also larger in OSAHS, adding further restriction. Otherwise, downward movement of the hyoid bone and decreasing of the angle （alpha） in OSAHS influence larygopharynx airway. MRI is of clinical significance for evaluating OSAHS children＇s upper airway.
中文关键词	儿童 ; 睡眠呼吸暂停 ; 阻塞性 ; 磁共振成像 ; 打鼾
英文关键词	Child Sleep apnea obstructive Magnetic resonance imaging Snoring
语种	中文
国家	中国
收录类别	CSCD
WOS类目	OTORHINOLARYNGOLOGY
WOS研究方向	Otorhinolaryngology
CSCD记录号	CSCD:2869520
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/221896
作者单位	1.温州医学院附属第二医院育英儿童医院耳鼻咽喉科, 浙江 325027, 中国; 2.温州医学院附属第二医院儿内呼吸科, 浙江 325027, 中国; 3.温州医学院附属第二医院育英儿童医院影像科, 浙江 325027, 中国
推荐引用方式 GB/T 7714	倪丽艳,周永海,蔡晓红,等. 睡眠呼吸紊乱儿童上气道结构的MRI研究[J],2007,42(2):104-108.
APA	倪丽艳.,周永海.,蔡晓红.,项松洁.,杨继红.,...&刘学军.(2007).睡眠呼吸紊乱儿童上气道结构的MRI研究.,42(2),104-108.
MLA	倪丽艳,et al."睡眠呼吸紊乱儿童上气道结构的MRI研究".42.2(2007):104-108.