影像研究与医学应用2024,Vol.8Issue(1) :17-20.

符合生理顺应性的OSAHS患者上气道及其周围软组织三维重建

Three-dimensional reconstruction of upper airway and surrounding soft tissues in OSAHS patients consistent with physiological compliance

陈柳洁 肖潭
影像研究与医学应用2024,Vol.8Issue(1) :17-20.

符合生理顺应性的OSAHS患者上气道及其周围软组织三维重建

Three-dimensional reconstruction of upper airway and surrounding soft tissues in OSAHS patients consistent with physiological compliance

陈柳洁 1肖潭2
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作者信息

  • 1. 广州大学土木工程学院 广东 广州 510006
  • 2. 广东石油化工学院建筑工程学院 广东 茂名 525000
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摘要

目的:人体上气道结构复杂精细,其内部组织结构的变形位移及相互作用不仅体现在矢状面,其他方向的变化对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者气道的塌陷阻塞也存在影响.建立符合生理顺应性的患者上气道三维实体模型是进行OSAHS患者上气道流固耦合生物力学仿真分析的基础.方法:采用自然睡眠仰卧位状态下OSAHS患者上气道CT数据,通过Mimics、Geomagic及HyperMesh软件开展患者上气道结构的三维实体模型重建工作.结果:获得患者上气道(含鼻咽与口腔气道)及其周围软组织(含软腭、舌体、会厌)三维有限元模型,该模型符合患者自然睡眠期真实几何形态与生理顺应性,有效表征上气道及其周围软组织的空间结构关系.结论:该模型包含鼻咽气道与口腔气道,有利于后续分析研究不同呼吸模式对OSAHS发生的影响,为进一步探讨患者睡眠期间发生气道阻塞的力学机制提供数值模型支撑.

Abstract

Objective The upper airway structure of the human is complicated.The deformation&displacement and interaction of the internal structures are not only reflected in the sagittal plane,but the change in other direction also affects the airway collapse and obstruction of the patient with obstructive sleep apnea hypopnea syndrome(OSAHS).Therefore,a three-dimensional model of the patient's upper airway established is expected to accurately describe the natural sleep state and conforms to the physiological compliance,which is the basis for the biomechanical simulation analysis of the fluid-structure coupling in the upper airway,and has practical application value for clinical diagnosis and evaluation.Methods In this paper,CT data of the OSAHS patient's upper airway in supine position during natural sleep were used to complete three-dimensional reconstruction with software,such as Mimics,Geomagic and HyperMesh etc.Results Three-dimensional finite element model of the upper airway(including nasopharynx airway and oral airway)and surrounding soft tissues(including soft palate,tongue and epiglottis)was established.The three-dimensional upper airway model is consistent with the real geometrical morphology and the physiological compliance of the patient with OSAHS during natural sleep.Conclusion The nasopharyngeal airway and oral airway were both established,which is conducive to the subsequent analysis of the impact of different respiratory patterns on OSAHS,and provides numerical model support for further exploring the mechanical mechanism of the airway obstruction during sleep in OSAHS patients.

关键词

阻塞性睡眠呼吸暂停低通气综合征/自然睡眠期/生理顺应性/三维重建/数字医学

Key words

Obstructive sleep apnea hypopnea syndrome/Nature sleep/Physiological compliance/Three-dimensional reconstruction/Digital medicine

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基金项目

广州市科技计划项目(202002030115)

出版年

2024
影像研究与医学应用

影像研究与医学应用

ISSN:
参考文献量12
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