在成年人中预测阻塞性睡眠呼吸暂停的放射性发现:系统性审查和元分析
Sobhi Kazmouz1, Nathan Calzadilla1, Akriti Choudhary2
1University of Illinois College of Medicine, Chicago, IL, USA.
概括
放射性指标可以帮助选阻塞性睡眠呼吸暂停 (OSA). 在OSA患者中,侧脑图显示了软的大小和状腺距离的增加,但对诊断仍然需要多睡眠图 (PSG).
科学领域:
- 医疗成像医学成像
- 睡眠医学 睡眠医学
- 口腔和牙面部外科手术
背景情况:
- 多睡眠学 (PSG) 是诊断阻塞性睡眠呼吸暂停 (OSA) 的黄金标准.
- 由于可访问性和时间,PSG并不总是适合头骨和面部外科医生.
- 放射性指标可能提供一种更容易获得的OSA查方法.
研究的目的:
- 为了确定可预测阻塞性睡眠呼吸暂停 (OSA) 诊断的放射性指标.
- 进行对使用CT,MRI和横向头脑图进行OSA预测的研究进行系统审查和元分析.
主要方法:
- 一个符合PRISMA的系统审查和对109项涉及9817名参与者的研究进行元分析.
- 分析包括CT,MRI和横向脑电图的发现.
- 由于研究异质性,对横向脑图测量进行了随机效应模型元分析.
主要成果:
- 阻塞性睡眠呼吸暂停 (OSA) 与增加软的长度和厚度相关.
- 在OSA患者中观察到下平面到舌骨的距离增加.
- 减少的SNA,SNB,BaSN,SN距离和口腔长度 (ANS-PNS) 与OSA相关.
结论:
- 侧向脑电图测量显示了作为查阻塞性睡眠呼吸暂停 (OSA) 的放射性指标的潜力.
- 尽管有放射学效用,但多睡眠学 (PSG) 仍然对于确定OSA诊断至关重要.
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