不同程度的腺体缩对儿科上呼吸道空气动力学的影响:一项计算流体动力学研究
Zhenzhen Hu1, Jingliang Dong2,3,4, Miao Lou1
1Department of Otolaryngology Head and Neck Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, 157 Xiwu Road, Xi'an, 710004, Shaanxi, China.
Biomechanics and modeling in mechanobiology
|May 31, 2023
概括
腺体缩 (AH) 显著影响儿科上呼吸道 (UA) 空气动力学. 较大的腺会增加空气流速,压力下降和壁压力,影响呼吸道通透度.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 生物医学工程 生物医学工程
- 计算流体动力学的流体动力学.
背景情况:
- 腺体缩 (AH) 是儿童常见的疾病.
- 准确的诊断和了解AH对上呼吸道 (UA) 的影响对于及时干预至关重要.
- 量化与不同程度的AH相关的空气动力学变化是必不可少的.
研究的目的:
- 量化分析儿科上呼吸道的空气动力学特征,不同程度的腺体缩.
- 为了将腺体大小与与腺体-鼻 (AN) 比率表示的腺体大小,与空气流速,压力下降 (△P) 和墙壁剪切应力 (WSS) 相关联.
主要方法:
- 基于CT扫描的儿科UA模型的虚拟手术重建,具有不同的AN比率 (0.9,0.8,0.7,0.6) 和对照 (0.5) 基于CT扫描.
- 计算流体动力学 (CFD) 分析以评估峰值速度,△P和最大WSS.
主要成果:
- 由于流量分离和逆流,在鼻腔和口腔中形成旋.
- 对于AN比率≥0.7,与鼻区域相比,鼻和鼻区域的气流速度显著增加.
- 在鼻和鼻中观察到高的△P和最大WSS,AH的严重程度增加.
结论:
- 腺体大小是儿科上呼吸道通透性的关键决定因素.
- 显著的空气动力学变化发生在UA中,中度至重度的腺体缩.
- 这些发现支持改善AH的诊断准确性和及时管理以预防并发症.
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