摘要
目的：探讨漏斗胸患者中扁平胸和脊柱侧弯的发生率及其相关性。方法：统计171例漏斗胸患者术前的一般情况、正侧位胸片及胸部CT影像学资料。统计扁平胸与脊柱侧弯的发病率，分析Haller指数、Cobb角、胸廓扁平指数和胸廓外形指数与年龄的关系，Cobb角、胸廓扁平指数和胸廓外形指数与Haller指数的关系。结果：171例漏斗胸患者中，青少年患者占22.8%，青春期患者占53.8%，成年患者占23.4%。脊柱侧弯中Cobb角>10°的患者占20.5%，脊柱侧弯程度与Haller指数无关，脊柱侧弯程度与年龄有一定关系，青春期及成人组脊柱侧弯较青少年组严重。扁平胸患者占17.0%，扁平胸程度与年龄无明显相关性，但与Haller指数有一定相关性，Haller指数≥3.5的患者中胸廓扁平指数和胸廓外形指数均高于Haller指数＜3.5的两组。结论：漏斗胸患者的扁平胸和脊柱侧弯发病率较高，但相关性尚需进一步论证。在漏斗胸的诊疗中应增加扁平胸和脊柱侧弯的诊断，施加漏斗胸矫正术时应适当考虑与两者相关的治疗策略。
Abstract
Objective: To investigate the incidence of scoliosis and flat chest in pectus excavatum patients. Methods: One hundred and seventy-one cases of pectus excavatum patients before the operation were included in this study. Postero-anterior and lateral chest radiography, and chest CT were performed. The incidence of flat chest and scoliosis were investigated, the relationship between Haller index, Cobb angle, chest flat index, chest shape index and age were analyzed. The relationship between Cobb angle, chest flat index, chest shape index and Haller index were analyzed too. Results: In 171 cases of pectus excavatum patients, 39 cases were 3~10 years old, 92 cases were 11~17 years old, 40 cases were older than 18 years. The cases of Cobb angle >10° were 20.5%, the extent of scoliosis and age have a certain relationship, and the extent of scoliosis of the adolescent and adult groups were more severe than the group with scoliosis; Scoliosis has nothing to do with the Haller index. The cases of flat chest were 17.0%, the extent of flat chest has nothing to do with age, but there was some correlation with the Haller index. The values of chest flat index and chest shape index in patients whose Haller index ≥3.5 were higher than the two groups whose Haller index <3.5. Conclusions: The incidence of flat chest and scoliosis was higher in pectus excavatum than general population, but the correlation needs further proof. The flat chest and scoliosis should be added to the diagnosis of pectus excavatum in some occasions. We should think some necessary treatments in those pectus excavatum’s surgeries.
关键词
漏斗胸 /
脊柱弯曲 /
体层摄影术 /
X线计算机
Key words
Funnel chest /
Spinal carvatures /
Tomography /
X-ray computed
王运仓;谢 亮;周海榆;马焕荣;吕海通;陈 刚.
漏斗胸伴发扁平胸和脊柱侧弯的临床及影像学分析[J]. 中国临床医学影像杂志. 2011, 22(8): 549-551
WANG Yun-cang;XIE Liang;ZHOU Hai-yu;MA Huan-rong;LV Hai-tong;CHEN Gang.
The imaging analysis of funnel chest coexisting with flat chest and scoliosis[J]. Journal of China Clinic Medical Imaging. 2011, 22(8): 549-551
中图分类号：
R561
R682.3
R814.42
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