年轻自发性气胸患者胸廓特征研究

摘要

目的：研究总结年轻自发性气胸患者胸廓特征，以筛选出自发性气胸的高危人群．方法：选取2004-01/2012-01期间180例行手术的年轻自发性气胸患者为试验组、180例健康查体年轻人为对照组，测量两组人群的身高、体重及胸廓前后径、左右上下径（纵径）及横径，计算出身高/体重比，胸廓前后径/上下径及横径比值．结果：试验组人群胸廓前后径/左纵径、胸廓前后径/右纵径、胸廓横径/左纵径、胸廓横径/右纵径的比值分别为（0．69±0．06）、（0．74±0．07）、（1．09±0.09）、（1．18±0．07），对照组人群对应值分别为（0．84±0.06）、（0．90±0．07）、（1．21±0．10）、（1．31±0．13），组间比较有统计学意义（P ＜0．01）；试验组人群胸廓前后径/左纵径、胸廓前后径/右纵径、胸廓横径/左纵径、胸廓横径/右纵径95％可信区间分别为（0．69，0．70）、（0．75，0．73）、（1．08，1．11）、（1．17，1．19），对照组人群相应的比值分别为（0．84，0．85）、（0．89，0．91）、（1．19，1．23）、（1．29，1．32）．结论：试验组人群胸廓特征与对照组人群比较有明显差异．通过对胸廓特征的测量与计算，可以筛选出自发性气胸的高危人群．%AIM:To investigate the thoracic characteristics of the spontaneous pneumothorax in young patients,for the diagnosis of spontaneous pneumothorax.METHODS:The study examined 360 cases from January 2004 to January 2012 in our hospital,in-cluding 180 young patients with spontaneous pneumothorax post operation in treatment group,while 180 healthy young people as controls.The heights,weights,thoracic anteroposterior diameters, the lateral-lateral (transverse)diameters and vertical diameters of all the samples were measured,in order to caculate the ratio of height/weight,thoracic anteroposterior diameters/the lateral-later-al (transverse ) diameters and vertical diameters.RESULTS:For the treatment group,the ratio of thoracic anteroposterior diam-eters/the left vertical diameters,thoracic anteroposterior diame-ters/the right vertical diameters,the transverse diameters/the left vertical diameters,the transverse diameters/the right vertical di-ameters were (0.69 ±0.06)、(0.74 ±0.07)、(1.09 ±0.09)、(1.18 ±0.07)respectively,and for the controls,the ratio were (0.84 ±0.06)、(0.90 ±0.07)、(1.21 ±0.10)、(1.31 ± 0.13)respectively.Two groups comparisons had the remarkable statistics significance (P<0.01);95%confidence intervals were (0.69,0.70)、(0.75,0.73)、(1.08,1.11)、(1.17,1.19)in treatment group and (0.84,0.85 )、(0.89,0.91 )、(1.19, 1.23)、(1.29,1.32)in control group.CONCLUSION:The difference of the thoracic characteristics between the two groups was significant,and these characteristics were valuable for the di-agnosis of spontaneous pneumothorax.