摘要
目的:探讨电影MRI(cineMRI)在儿童复杂阻塞性睡眠呼吸暂停综合征(OSAS)中对上气道阻塞层面的定位作用。方法:选择11例持续性及11例复杂性OSAS患儿,通过对其进行cineMRI检查,获取上气道正中矢状位及相应狭窄层面横断位的系列成像,制成电影形式,动态观察患儿上气道的狭窄情况,为患儿制定个性化的治疗方案,并通过PSG评估患儿症状改善情况。结果:cineMRI能有效界定上气道阻塞层面,其介导的个性化治疗方案可以有效改善AHI(P=0.019)及最低血氧饱和度(P<0.01)。结论:cineMRI是一种评估持续性或复杂性OSAS上气道阻塞层面的有效方法。
Objective:The aim of this study is to explore the role of cineMRI in the localization of upper airway obstruction in complicated pediatric OSAS.Method:Eleven persistent OSAS and 11 complex OSAS patients underwent cineMRI.Each patient was imaged midline sagittal and axial magnetic resonance cine image.The obtained sagittal and axial images were displayed in cine format,creating a real time " movie" of airway motion,to make a personalized treatment for each child.Polysomnography was performed to evaluate the effectiveness of cineMRI directed treatment for pediatric OSAS.Result:cineMRI could effectively define the upper airway obstruction level.There was a significant improvement in AHI(P=0.019)and saturation nadir(P<0.01).Conclusion:cineMRI is an effective method for assessing the level of airway obstruction on persistent or complex pediatric OSAS.
作者
何珊
张瑞冬
陈洁
HE Shan;ZHANG Ruidong;CHEN Jie(Department of OtolaryngoIogy,Shanghai Children's Medical Center Affiliated with Shanghai Jiaotong University School of Medicine,Shanghai,200127,China;Department of Anesthesiology,Shanghai Children's Medical Center Affiliated with Shanghai Jiaotong University School of Medicine)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第24期1886-1889,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
上海市科学技术委员会医学引导类(西医)科技支撑项目(No:16411960700)
上海市科研计划项目(No:17411965500)
