CT测量气胸肺压缩程度的动物实验研究.docVIP

CT测量气胸肺压缩程度的动物实验研究 CT测量气胸肺压缩程度的动物实验研究 梁建辉梁显亮方雄明梁仲培 广州医学院第二附属医院胸外科广东广州510260 :广州市肿瘤医院外科广东广州510260 .广州医学院病理生理教研窜广东广州510260 摘要目的探讨cT测量气胸肺压缩程度的计算方法并评价其准确性.方法通过穿刺胸膜 腔建立6只新西兰兔人工气胸模型,分次从穿刺管注入lOml,25ml,4Oml空气后,同时行胸部 cT平扫和x线摄影检查.cT片采用棱台的体积计算公式,x线胸片分别采用面积测量法和线段 估算法计算求出肺压缩比值,对所得数据进行统计学处理和分析.结果cT体积计算法与x线 胸片面积测量法和线段估算法计算的肺压缩比值进行组间比较,结果有统计学差异,(Plt;O. O5)理论计算值与cT实测值无显着性差异(Plt;O.O5),两者有高度相关性(左肺r=O.898,P lt;O.OOl;右肺r=O.9l9,Plt;O.OO1).结论cT体积计算法比x线胸片面积测量法和线段估 算法测量结果更准确,更能反映实际情况.因此更具科学性和临床应用价值. 关键词气胸电子计算机断层扫描x线肺脏动物实验 AanimaIexperimentsdudytomeasuretheIungcompression degreeofpneumothoraxwithOT LIANGJian—huiLIANGXianliangFANGXiong—ming DepartrmentofChestSurgery,TheSecondAffiliated College.Guangzhou510260GuangdongChina DepartrmentofSurgery,TheGuangzhouAffiliated MedicalCollege,Guangzhou510095GuangDongChina LIANGZhong—pei HospitalofGuangzhouMedical CancerHospital0fGuangzhou DepartrmentofPathophysiology,TheGuangzhouMedicalCollege,Guangzhou5l0260 GuangDongChina AstractObjectiveToevaluatetheaccuracyofthedegreeofcollapsedlungafter pneumothoraxwithCT(computertomography)measuredway.Methods6rabbitSwere employedinmakingupmodelofpneumothoraxbythoracocentesiS.Chestwerescanned byCTandtakenxeroradiographafterdifferentairvolume(1Oml,25ml,40m1)were injectedtothethorax.ThedegreeofcollapsedlungweremeasuredwithCTandX raywayes.StatisticalanalyticSwasmadeaccordingtothedatasOfCTandX-ray. ResultsTherewasSignificantdifferenceoflungcompressiondegreeinpneumotho raxbetweenmeasuredwithCTandXraywayes.(尸lt;0.05)kgoodcorrefation(1eft lung:r=0.898,尸lt;0.O0l:rightlung:r=0.9l9,尸lt;0.O01)betweentheoretical calCUlUSandactualmeasuredwithCTofdegreeofcollapsedlungwasobserved.The tworesultSshowednosignificantdifference.(尸gt;0.05)ConclusionTherewere moreSCientific,morecorrect,moretrustyandmoreUSefulinClinicwithCTway 14 国际医药卫生导报2008年第l4卷第.8期(半月刊) thanX—raywaysbymeasured KeywordsPneumothoraxCT thedegreeofpressureonlung. X—rayLungAnimalexperiment 中图分类号:R814.42;R561.4文献标识码:A文章编号:1007—1245(2008)08—00i4—05 准确地测定气胸的量是很有用的,遗憾的是目 前临床常用的