探讨气道双源CT和测压检查对OSAHS的联合应用价值

Preliminary study of application value dual-source CT combined with manometric examination on OSAHS

目的初步探讨应用双源CT联合测压法评价OSAHS患者上气道阻塞层面的应用价值。方法通过上气道双源CT判定结果与测压结果进行对照研究,并分析两种方法联合应用判定阻塞层面临床应用价值。结果双源CT检查判定OSAHS患者上气道狭窄平面的阳性率为83.33%(25/30)。AG200判定OSAHS患者上气道间隙阻塞的阳性率为90%(27/30)。两种检查结合的阳性率可以达到96.66%(29/30)。结论双源CT检查和AG200对OSAHS患者上气道阻塞均具有诊断意义,CT检查可以反映上气道多平面联合狭窄和上气道解剖性狭窄的原因,AG200仅能单纯显示单一平面的阻塞情况。联合应用两种检查手段可以明显提高OSAHS患者诊断的阳性率,并且在形态学和功能状态表现上可以相互弥补不足,为临床提供更可靠治疗依据。

Objective To preliminarily discuss the application value of dual-source CT combined with manometric method for evaluation of upper airway obstruction level in patients with OSAHS. Methods Through the upper airway of dualsource CT judgement result, manometric findings were compared. We combined the two methods to determine the clinical value of block level. Results Dositive rate with dual-source CT scan determining the upper airway stenosis in patients with OSAHS was 83.33 % （25/30）, AG200 determining OSAHS patients on positive airway obstruction clearance rate was 90%（27/30）. Two kinds of checks can be achieved with the positive rate of 96.66% （29/30）. Conclusion Dual-source CT and AG200 of the upper airway obstruction in patients with OSAHS can make a diagnosis, CT examination can reflect on the multi-planar joint narrow airway and upper airway anatomic stenosis of the reasons, AG200 alone showed only a single plane of obstruction. Combination of two kinds of inspection methods can significantly improve the positive rate of diagnosis of OSAHS patients. And morphological and functional status in each other can make up for lack of performance and provide more reliable for clinical treatment basis.