Available techniques for objective assessment of upper airway narrowing in snoring and sleep apnea.
Available techniques for objective assessment of upper airway narrowing in snoring and sleep apnea.
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DOI：
10.1007/s11325-003-0077-9
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发表时间：
2003-06-01
期刊：
影响因子：
--
通讯作者：
Grymer, Luisa
中科院分区：
文献类型：
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作者：
Faber, Christian E;Grymer, Luisa
许多技术可用于确定打鼾和阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的阻塞性优势水平：侧位头颅造影、清醒内镜检查、清醒内镜检查结合Muller操作、睡眠中内镜检查、睡眠中鼻持续气道正压通气内镜检查、荧光透视、CT扫描、MR扫描、测压和声反射。使用各种方法进行的不同研究的数据表明，不同的患者具有不同的咽部狭窄或塌陷模式。没有参考标准存在于阻塞事件期间的主要阻塞水平的确定，因此有必要进行进一步的调查，以改善和验证现有的方法，并开发新的技术。这些将提高我们对OSAHS和打鼾的病理生理学的理解，并有助于为不同的患者选择正确的治疗方案。本文列出了必须用于评估打鼾和OSAHS阻塞水平诊断的可用技术的标准。每种诊断技术的优点和局限性进行了总结，重点是声反射技术。
A number of techniques are available to determine the level of obstructive predominance in snoring and in the obstructive sleep apnea hypopnea syndrome (OSAHS): lateral cephalography, awake endoscopy, awake endoscopy with the Muller maneuver, endoscopy during sleep, endoscopy with nasal continuous positive airway pressure during sleep, fluoroscopy, CT scanning, MR scanning, manometry, and acoustic reflections. Data from different studies using various methods suggest that different patients have different patterns of narrowing or collapse of the pharynx. No reference standard exists for the determination of the predominant obstructive level during obstructive events, so further investigations are necessary to improve and validate existing methods and develop new techniques. These would improve our understanding of the pathophysiology of OSAHS and snoring and help to select the correct treatment option for different patients. This article lists criteria that must be used to assess the available techniques for diagnosis of obstruction level in snoring and OSAHS. The advantages and limitations of each diagnostic technique are summarized, with emphasis on the acoustic reflectometry technique.