胸腔横径和高径的X线测量及临床应用  

Radiological Measurement of Both the Thoracic Width and Height and Its Clinical Application

作　　者：龚志刚[1] 

机构地区：[1]赣南师范学院医院,江西赣州341000

出　　处：《实用放射学杂志》2008年第9期1264-1265,共2页Journal of Practical Radiology

摘　　要：目的探讨胸部平片胸腔横径和高径的X线测量及其临床意义。方法对158例无心肺异常X线征象及30例肺气肿病人的胸部平片进行胸宽、胸高的测量和统计学分析,使用直线相关和回归的方法,研究正常人群胸宽、胸高、身高、体重的关系。结果测得158例正常人群中男性平均胸宽26.59cm,胸高23.84cm;女性平均胸宽24.8cm,胸高21.6cm。肺气肿组测得男性胸宽>27cm,胸高>26cm;女性胸宽>25cm,胸高>24cm。由身高推导正常人群胸宽、胸高的公式为:男性胸宽=10.9403+0.0951×身高,胸高=-0.6381+0.1462×身高;女性胸宽=11.0605+0.0864×身高,胸高=-8.6428+0.1907×身高。实测胸宽大于推导公式推导出的本人非肺气肿状态时1cm以上或实测胸高大于推导结果3cm以上可提示肺气肿诊断。结论根据推导公式所获得的胸宽和胸高数据,对肺气肿的影像学诊断具有较高的参考价值。Objective To study the way of measurement of both the thoracic width and height by roentgenography and its clinical significance. Methods The thoracic width and height in 158 healthy people and 30 cases with emphysema on chest plain X - ray films were measured and analysed statistically. The relationship among the width and height of the chest, height and weight of body in healthy people were studied. Results In normal group,the thoracic width and height were 26.59 cm and 23.84 cm in men,24.8 cm and 21.6 cm in women in average,respectively, in emphysema group,the average thoracic width and height were more than 27 cm and 26 em in men,25 cm and 24 cm in women,respectively. The formulas calculated thoracic width and height relevant to height of body were 10. 9403 ＋ 0. 0951× height of body and -0.6381 ＋0.1462 ×height of body in men,11.0605 ＋0.0864×height of body and -8.6428 ＋0.1907 ×height of body in women normally. Therefore,the possibility of prompting emphysema was present when the thoracic width and height were more than 1 cm and 3 cm according to above calculating formulas. Conclusion The data of the calculated thoracic width and height based on the formulas mentioned adore are of significant value for diagnosing emphysema with imaging.

关 键 词：胸部 X线摄影 测量 

分 类 号：R816.4[医药卫生—放射医学] R814.41[医药卫生—临床医学]