| 宋朝,马华安,吴拥军,等.阻塞性睡眠呼吸暂停低通气综合征患者的翼钩形态特点研究[J].中国临床保健杂志,2026,(1):114-121. |
| 阻塞性睡眠呼吸暂停低通气综合征患者的翼钩形态特点研究 |
| Research on the morphological characteristics of pterygoid hamulus in patients with obstructive sleep apnea hypopnea syndrome |
| 投稿时间：2025-11-17 |
| DOI：10.3969/J.issn.1672-6790.2026.01.020 |
| 中文关键词: 睡眠呼吸暂停,阻塞性 腭 口腔外科手术 肥胖症 |
| 英文关键词: Sleep apnea,Obstructive Palate Oral surgical procedures Obesity 〖FL |
| 基金项目: |
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| 摘要点击次数: 55 |
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| 中文摘要: |
| 目的 描述阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者翼钩(PH)的解剖结构特征。方法 回顾性分析2021年1月至2024年10月在江苏省中医院耳鼻咽喉科治疗的90例OSAHS患者临床资料,其中男82例,女8例,年龄19~65(40.16±10.43)岁；依据多导睡眠监测呼吸暂停低通气指数(AHI)频次划分:OSAHS轻度组(5~15次/h)30例,OSAHS中度组(16~30次/h)30例,OSAHS重度组(>30次/h)30例；筛选同期90例单纯型打鼾(AHI＜5次/h)患者作为单纯型打鼾组。分析OSAHS患者多层螺旋CT计算机断层扫描数据资料,测量双侧PH的长度、宽度、厚度、方位(外展倾角、后展倾角)和双侧PH间距,及其与周围结构(切牙孔和后鼻棘)的相对空间数据,包括PH-切牙孔间距、PH-切牙孔倾角、PH-后鼻棘间距、PH-后鼻棘倾角；结合AHI、体重指数(BMI)、年龄资料对PH特征进行统计学分析,探讨形态差异性；多元线性回归分析OSAHS病情程度对PH特征的影响。结果 OSAHS患者PH长度为(0.78±0.15)cm,PH宽度为(0.19±0.04)cm,PH厚度为(0.26±0.06)cm,PH外展倾角和后展倾角个体变异较大；PH与切牙孔、后鼻棘解剖关系相对恒定。不同程度OSAHS患者的PH宽度、厚度及外展倾角形态特征比较,差异有统计学意义(P<0.05)。不同级别BMI对PH长度、厚度及后倾角度有影响,组间比较,差异有统计学意义(P<0.05)。多元线性回归分析结果表明,AHI对PH厚度影响有统计学意义(P<0.001)。结论 PH形态特征受AHI和BMI显著影响,关注OSAHS患者AHI和BMI有助于对PH状态做出客观判断。 |
| 英文摘要: |
| Objective To describe the anatomical features of the pterygoid hamulus (PH) in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) and provide guidance for palatal surgical techniques.Methods A retrospective analysis was conducted on the clinical data of 90 OSAHS patients treated in the Otolaryngology Department of Jiangsu Provincial Hospital of Traditional Chinese Medicine from January 2021 to October 2024.Among them,there were 82 males and 8 females,aged 19-65 (40.16 ± 10.43) years.According to the frequency of polysomnography apnea hypopnea index (AHI),they were divided into mild OSAHS group (5-15 times/h),moderate OSAHS group (16-30 times/h),and severe OSAHS group (>30 times/h).90 patients with simple snoring (AHI<5 times/h) were selected during the same period as the simple snoring group.Analyze the data of multi-slice spiral CT computed tomography in OSAHS patients,measure the length,width,thickness,orientation (abduction slope angle,posterior slope angle),and distance between bilateral PH,as well as the relative spatial data with surrounding structures (incisor foramen and posterior nasal spine),including PH incisor foramen distance,PH incisor foramen angle,PH posterior nasal spine distance,and PH posterior nasal spine angle;Statistical analysis of PH characteristics based on AHI,body mass index (BMI),and age data to explore morphological differences;Multiple linear regression analysis of the impact of OSAHS severity on PH characteristics.Results The PH length of OSAHS patients was (0.78 ± 0.15) cm,the PH width was (0.19 ± 0.04) cm,and the PH thickness was (0.26 ± 0.06) cm.There was significant individual variation in the PH abduction slope angle and posterior slope angle;The anatomical relationship between PH and the incisor foramen and posterior nasal spine is relatively constant.There was a statistically significant difference (P<0.05) in the morphological characteristics of PH width,thickness,and abduction slope angle among patients with different degrees of OSAHS.Different levels of BMI have an impact on PH length,thickness,and posterior slope angle,and the differences between groups are statistically significant (P<0.05).The results of multiple linear regression analysis showed that AHI had a statistically significant effect on pH thickness (P<0.001).Conclusions The morphological characteristics of PH are significantly influenced by AHI and BMI.When conducting palatal surgery techniques,paying attention to AHI and BMI factors in OSAHS patients can help make objective judgments on their PH status. |
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