管体大小对儿童上呼吸道空气动力学的影响:一个计算流体动力学研究
Yiwei Feng1, Qiang Xie1, Xiuping Yang1,2
1Department of Otorhinolaryngology, Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
概括
患有睡眠呼吸障碍 (SDB) 的儿童体内管扩大 (TTA%) 影响上呼吸道 (UA) 气流,可能影响腺切除术后的外科结果. 超过15%的TTA%显著改变了UA的空气动力学.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 呼吸系统生理学 呼吸系统生理学
- 医疗成像医学成像
背景情况:
- 睡眠呼吸障碍 (SDB) 在一些儿童的腺切除术后仍然存在.
- 过度的管体 (TT) 大小是导致持续性SDB症状的潜在因素.
研究的目的:
- 为了研究 torous tubarius 尺寸与 SDB.儿童腺切除术结果之间的关系.
- 用计算流体动力学 (CFD) 量化评估TT大小对上呼吸道 (UA) 空气动力学的影响.
主要方法:
- 追溯分析24名患有SDB的儿童,这些儿童接受了腺切除术.
- 形束计算断层扫描 (CBCT) 成像用于TT测量和医疗记录审查.
- 根据TT大小变化,CFD模拟来评估UA空气流动的动态.
主要成果:
- 在优秀和差的手术结果组之间,观察到管体占据的UA面积 (TTA%) 的百分比显著差异 (10.4%与17.7%,p < 0.001).
- 在CFD模拟中,当TTA%超过15%时,空气流速显著增加,壁剪应力,鼻中压力下降显著增加.
结论:
- 体管的大小显著影响儿童上呼吸道空气动力学.
- 超过15%的TTA%可以改变UA气流动力学,可能会影响SDB治疗腺切除术的成功.
相关概念视频
Turbulent Flow
147
Turbulent flow is characterized by unpredictable fluctuations in velocity and pressure, which result in a chaotic fluid movement distinct from the orderly patterns of laminar flow. While laminar flow is governed by smooth, parallel layers with minimal mixing, turbulent flow exhibits highly irregular, three-dimensional patterns. This behavior arises due to instabilities in the fluid's velocity profile, and amplifies as the flow velocity increases. Minor disturbances, known as turbulent...
147
Turbulent Flow: Problem Solving
98
Carbonation is a process used to dissolve carbon dioxide gas in a liquid, commonly used in the production of carbonated beverages. Achieving efficient carbonation requires careful control of temperature, pressure, and flow conditions. By adjusting these parameters, carbonation efficiency can be maximized, producing a higher concentration of CO2 in the liquid.
Temperature is a key factor in CO2 solubility. In this case, the CO2 gas and the liquid are cooled to 20°C. Lower temperatures...
Temperature is a key factor in CO2 solubility. In this case, the CO2 gas and the liquid are cooled to 20°C. Lower temperatures...
98
Steady, Laminar Flow in Circular Tubes
166
Hagen-Poiseuille flow describes a viscous fluid's steady, incompressible flow through a cylindrical tube with a constant radius R. This flow profile is often applied to understand fluid transport in narrow channels, such as capillaries. It serves as a foundational example of laminar flow. In this model, cylindrical coordinates (r,θ,z) are used to describe the radial (r), angular (θ), and axial (z) dimensions within the tube. For Hagen-Poiseuille flow, the velocity profile is...
166
Laminar and Turbulent Flow
8.4K
Fluid dynamics is the study of fluids in motion. Velocity vectors are often used to illustrate fluid motion in applications like meteorology. For example, wind—the fluid motion of air in the atmosphere—can be represented by vectors indicating the speed and direction of the wind at any given point on a map. Another method for representing fluid motion is a streamline. A streamline represents the path of a small volume of fluid as it flows. When the flow pattern changes with time, the...
8.4K
Thin-Walled Hollow Shafts
171
In analyzing a thin-walled hollow shaft subjected to torsional loading, a segment with width dx is isolated for examination. Despite its equilibrium state, this segment faces torsional shearing forces at its ends. These forces are quantitatively described by the product of the longitudinal shearing stress on the segment's minor surface and the area of this surface, leading to the concept of shear flow. This shear flow is consistent throughout the structure, indicating a uniform distribution...
171
Laminar Flow: Problem Solving
127
Laminar flow occurs when a fluid moves smoothly in parallel layers with minimal mixing and turbulence. In fluid mechanics, ensuring laminar flow within a pipe is essential for precise control of flow characteristics, especially in engineering applications. The key factor in determining whether flow remains laminar is the Reynolds number, a dimensionless quantity that depends on the fluid's velocity, density, viscosity, and the pipe's diameter. A Reynolds number of 2100 or lower...
127


