正常胸廓比CT影像解剖学测量及其临床意义

doi:10.13418/j.issn.1001-165x.2023.1.06

中国临床解剖学杂志 ›› 2023, Vol. 41 ›› Issue (1): 28-30.doi: 10.13418/j.issn.1001-165x.2023.1.06

正常胸廓比CT影像解剖学测量及其临床意义

李至彦¹，陈熙璞¹，蔡明辉²，程书文¹，岑少钦¹，阿布都哈卡尔·克拉木¹，马德华²
王朝³，李玉露⁴，张昕昕¹，邹卫³，朱成楚²，易龙^1,2*

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

收稿日期:2021-03-14 出版日期:2023-01-25 发布日期:2023-02-08
通讯作者: 易龙，副教授，硕士生导师，Email：yilong@nju.edu.cn
作者简介:李至彦（1998-），男，江苏南通人，南京大学临床医学八年制，在读本科，研究方向：心胸遗传疾病，E-mail：lzyhmjs@163.com
基金资助:
国家自然科学基金面上项目（81670003）

Imaging anatomical measurement and clinical significance of normal thoracic ratio

Li Zhiyan¹, Chen Xipu¹, Cai Minghui², Cheng Shuwen¹, Cen Shaoqin¹, Abudukhar kramu¹, Ma Dehua², Wang Chao³, Li Yulu⁴, Zhang Xinxin¹, Zou Wei³, Zhu Chengchu², Yi Long^1,2*

1. Medical School of Nanjing University, Nanjing 210093, Jiangsu Province, China; 2. Department of Cardio-Thoracic Surgery, Taizhou Hospital of Zhejiang Province, Taizhou 317000, Zhejiang Province, China; 3. Department of Cardio-Thoracic Surgery, Nanjing Chest Hospital, Nanjing 210029, Jiangsu Province, China; 4. Nanjing Liangjiang Forensic Identification Institute, Nanjing 210012, Jiangsu Province, China

Received:2021-03-14 Online:2023-01-25 Published:2023-02-08

摘要/Abstract

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。

关键词: 胸廓比, , , 年龄, , , 解剖学参数, , , 原发性自发性气胸

Abstract: 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.

Key words: Thoracic ratio, , , Age, , , Anatomical parameters, , , Primary spontaneous pneumothorax

中图分类号:

R445.3
R322

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, 李玉露, 张昕昕, 邹卫, 朱成楚, 易龙. 正常胸廓比CT影像解剖学测量及其临床意义[J]. 中国临床解剖学杂志, 2023, 41(1): 28-30.

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. Imaging anatomical measurement and clinical significance of normal thoracic ratio[J]. Chinese Journal of Clinical Anatomy, 2023, 41(1): 28-30.

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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

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