| 胸骨发育与漏斗胸畸形的临床研究 |
| 投稿时间：2010-11-15 点此下载全文 |
| 引用本文：刘吉福,赵倩,徐波,武珊珊.胸骨发育与漏斗胸畸形的临床研究[J].医学研究杂志,2011,40(5):65-68 |
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| 中文摘要:目的研究成人漏斗胸患者胸骨的发育状况与胸壁畸形的关系。方法50例成人漏斗胸患者为研究组；HI:3.2~9.8，平均4.4±1.3。15例胸壁无畸形者为对照组。采用胸部CT扫描资料，胸廓三维成形，矢状位以胸椎体中线切面，分析胸骨柄体剑突的发育、胸骨体的形状、走行位置与胸廓畸形的关系；并测量胸骨柄与胸骨体比值。结果研究组胸骨柄与体长度比1.45~3.2,平均2.03±0.38。胸骨柄体未分化7例（14.0%）；胸骨体形状：呈平直和弓形各占一半；胸骨体的位置：以垂直向下、斜向内下走行和下端向上翘共35例，其胸壁畸形呈凹陷广泛伴扁平胸；而胸骨体下端向内突共15例，则凹陷畸形较局限。胸骨体节未融合3例。对照组胸骨柄与体长度比1.17~2.39，平均1.73±0.37。胸骨柄体未分化1例（6.7%）；胸骨体位置以垂直向下和向前下走行。结论PE胸骨发育异常率高。胸骨体位置、走行异常与胸壁凹陷畸形的范围和程度有显著的一致性。 |
| 中文关键词:漏斗胸 胸骨发育 胸部CT影像 |
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| Clinical Study of Sternal Development of Pectus Excavatum in Adult with Chest wall Deformity |
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| Abstract:ObjectiveTo study correlation between sternal development of pectus excavatum(PE) and chest wall deformity in adult patients. Methods50 patients with PE in adult were subjected to the observed group. Haller index（HI）3.2~9.8(mean 4.4±1.3). 15 patients without chest wall deformity were classified as the control group. Data from thoraces computer tomography of the patients was reconstructed to the chest 3D forming, the sagittal view by middle line tangent plane of the body of the thoracic vertebra. The development of the manubrium, midsternum, xyphoid and the configuration and courser location of the midsternum were analyzed and the proportionality of the manubrium with the midsternum was measured. ResultsThe proportionality of the manubrium with the midsternum was 1.45~3.2(mean 2.03±0.38) in study group. There were 7 patients（14.0%）with undifferentiation of the manubrium and corpus sterni. There was accounted for each half of the parallel verticality and arciform of the midsternum. The location of the midsternum in 35 cases of the all patients was the perpendicular deorsum, or the intero-inferiorly inclination, or the inferior extremity to forward bend. Their shape of the chest wall deformity was extensive depression with flat chest. Other 15 cases were the inner root of the inferior extremity of the corpus sterni. The configuration of the chest wall deformity presented the limited depression of the chest wall. There was not the synostosis of the one sternebrea in 3 patients. The proportionality of the manubrium with the midsternum was 1.17~2.39 (mean 1.73±0.37) in control group. There was 1 patient（6.7%）with undiferentiation of the manubium and corpus sterni. The position of mesosternum presented the perpendicular deorsum or anterior-inferior. ConclusionThere was higher rate of the sternal development abnormality in PE. The position and cursor abnormality of the midsternum consisted noticeably with the extent and level of the chest wall depression. |
| keywords:Pectus excavatum Sterna development Thoraces CT image |
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