CAJ | 학술논문

目的探讨扁平型胸廓青少年易发生自发性气胸的原因.方法 30例扁平型胸廓青少年自发性气胸患者作为研究组,20例同期非自发性气胸青少年患者作为对照组,在CT图像上测量胸廓横径与前后径;取开胸手术的30例自发性气胸患者的肺组织和20例非自发性气胸原因开胸手术切除的肺组织分别做病理学检查,两组所测数据利用t检验进行统计分析.结果研究组胸廓横径与前后径比值明显大于对照组,差异有统计学意义(P<0.01);研究组肺组织病理学检查明显区别于对照组,差异有统计学意义(P<0.01).结论扁平胸廓和肺发育异常引起肺组织学改变,可能是扁平型胸廓青少年易发生自发性气胸的一个主要原因.
목적 탐토편평형흉곽청소년역발생자발성기흉적원인.방법 30례편평형흉곽청소년자발성기흉환자작위연구조,20례동기비자발성기흉청소년환자작위대조조,재CT도상상측량흉곽횡경여전후경;취개흉수술적30례자발성기흉환자적폐조직화20례비자발성기흉원인개흉수술절제적폐조직분별주병이학검사,량조소측수거이용t검험진행통계분석.결과 연구조흉곽횡경여전후경비치명현대우대조조,차이유통계학의의(P<0.01);연구조폐조직병이학검사명현구별우대조조,차이유통계학의의(P<0.01).결론 편평흉곽화폐발육이상인기폐조직학개변,가능시편평형흉곽청소년역발생자발성기흉적일개주요원인.
Objective To investigate the etiologies of spontaneous pneumothorax in flat chest teenagers.Methods 30 teenagers with flat chest and spontaneous pneumothorax were designed as the study group,while 20 teenagers without spontaneous pneumothorax during the same period were taken as control.The ratio of thoracic transverse diameters to anterior-posterior diameters,and the ratio of tracheal length to transverse diameters were measured respectively by CT scan.The resected pulmonary tissues in 30 cases with spontaneous pneumonthorax and in 20 cases without spontaneous pneumonthorax underwent Pathology examinations.Student t-test was employed to perform tIle statistical analysis.Results The ratios of thoracic transverse diameters to anteriorposterior diameters and the ratios of tracheal length to transverse diameters in the study group were remarkably higher than those in the control group.with significant statistical difference(P<O.01).The Pathology examinations in the study group were markedly different than those in the control group,with significant statistical difference(P<0.01).Conclusion The flat chest and lungs due to their abnormal development may play an important role in the occurrence of spontaneous pneumothorax in flat-chest teenagers.