正常胸廓比CT影像解剖学测量及其临床意义  

Imaging anatomical measurement and clinical significance of normal thoracic ratio

作　　者：李至彦 陈熙璞 蔡明辉 程书文 岑少钦 阿布都哈卡尔·克拉木 马德华 王朝[3] 李玉露 张昕昕 邹卫[3] 朱成楚 易龙[1,2] Li Zhiyan;Chen Xipu;Cai Minghui;Cheng Shuwen;Cen Shaoqin;Abudukhar kramu;Ma Dehua;Wang Chao;Li Yulu;Zhang Xinxin;Zou Wei;Zhu Chengchu;Yi Long(Medical School of Nanjing University,Nanjing 210093,Jiangsu Province,China;Department of CardioThoracic Surgery,Taizhou Hospital of Zhejiang Province,Taizhou 317000,Zhejiang Province,China;Department of Cardio-Thoracic Surgery,Nanjing Chest Hospital,Nanjing 210029,Jiangsu Province,China;Nanjing Liangjiang Forensic Identification Institute,Nanjing 210012,Jiangsu Province,China)

机构地区：[1]南京大学医学院,南京210093 [2]温州医科大学附属台州医院心胸外科,浙江台州317000 [3]南京市胸科医院心胸外科,南京210029 [4]南京两江司法鉴定所,南京210012

出　　处：《中国临床解剖学杂志》2023年第1期28-30,35,共4页Chinese Journal of Clinical Anatomy

基　　金：国家自然科学基金面上项目(81670003)。

摘　　要：目的 应用影像解剖学技术获取胸廓参数,计算胸廓比,探讨其临床意义。方法 选取浙江台州地区和江苏南京地区560例体检人群、368例原发性自发性气胸(PSP)患者的胸部CT平扫影像,按其年龄及性别进行分组,于T6平面测量胸廓横径和纵径,并计算胸廓比,进行统计学分析。结果 体检人群正常胸廓比参考范围(1.62±0.14)。单因素方差分析显示,男性(1.60±0.14)和女性(1.67±0.18)组间胸廓比有统计学差异(P<0.01),胸廓比随年龄增大逐渐减小,不同年龄段组间胸廓比有显著差异(P<0.01)。原发性自发性气胸患者人群胸廓参考范围为(1.79±0.20)。其胸廓比与正常胸廓比各年龄组间存在统计学差异(P<0.05)。结论 正常胸廓比参考值的确立可为胸廓畸形的相关疾病提供可靠参照。Objective To measure the anatomical parameters of the thorax by an imaging method,calculate the thoracic ratio, and explore the clinical significance. Methods The computed tomography films of 560 people undergoing medical examinations and 368 patients with primary spontaneous pneumothorax(PSP) were selected in Zhejiang Province and Jiangsu Province. They were grouped according to gender and age. The anteroposterior diameter and the transverse diameter of the thoracic cage were measured at the level of the sixth thoracic vertebra, and the thoracic ratio was calculated for statistical analysis. Results The reference range of normal thoracic ratio was(1.62±0.14). There were significant differences in thoracic ratio between male(1.60±0.14) and female(1.67±0.18)(P<0.01) according to the result of one-Way ANOVA. The thoracic ratio decreased with the increasing of age, and there was prominent difference in thoracic ratio between different age groups(P<0.01). The thoracic ratio of patients with primary spontaneous pneumothorax was(1.79±0.20). There were significant differences in the thoracic ratio between patients with primary spontaneous pneumothorax and normal thoracic ratio among different age groups(P<0.05). Conclusions The establishment of the reference value of normal thoracic ratio can provide a reliable reference for the related diseases of thoracic deformity.

关 键 词：胸廓比 年龄 解剖学参数 原发性自发性气胸 

分 类 号：R445.3[医药卫生—影像医学与核医学] R322[医药卫生—诊断学]