阻塞性睡眠呼吸暂停综合征颅咽部X线研究

Craniopharyngeal Radiologic Study in Obstructive Sleep Apnea Syndrome

笔者对８２例阻塞性睡眠呼吸暂停综合征（ＯＳＡＳ）患者，３０例单纯打鼾症患者及５５例正常人摄取颅咽结构像并进行测量及分析，结果表明：ＯＳＡＳ患者和单纯打鼾症患者存在着颅咽部的解剖异常，以ＯＳＡＳ患者的下颌缺陷（小颌、下颌后移等），软腭增长松弛及舌骨位置降低尤为明显，是引起打鼾及阻塞性睡眠呼吸暂停（ＯＳＡ）的重要因素；ＯＳＡＳ患者的病情程度与其肥胖程度，舌骨位置降低及软腭增长松弛程度存在明显的正相关性，且与前二项关系非常显著。颅咽结构像是简单而实用的评价ＯＳＡＳ患者颅咽部结构的方法，可据此帮助临床治疗方法的选择。

patients with obstructive sleep apnea syndrome(OSAS)30 normal and 55 normal controls were studied with craniopharyngeal radiography.The results showed that:snorers and OSAS patients had craniopharyngeal anatomic abnormalities,chiefly:mandibular defect, prolonged and lax soft palate and low position of hyoid bone which were important causative factors for snore and OSA;there was significant positive correlation between the severity of OSAS and obesity,low position of hyoid bone,and prolonged soft palate particularly the first two factors.The authors were of the opinion that radiograph of craniopharyngeal region is a relatively simple but useful method in evaluation and clinical management of patients with OSAS and snore.