右主支气管与右上叶支气管交汇区的MSCT影像学研究

doi:10.13418/j.issn.1001-165x.2018.03.006

Abstract

Abstract:

Objective　To explore and measure the dimensions of the intersection area of right principal bronchus and right upper lobe bronchus in normal adults and to analyze the correlation between the diameters of right principal bronchus, right upper lobe bronchus and intermediate bronchus. Methods The MSCT images of 300 healthy adult males and 300 healthy adult females were analyzed and measured, respectively. We used multiplanar reconstruction technique to measure the diameter, length, cross-sectional area and included angle of the right principal bronchus, right upper lobe bronchus and intermediate bronchus, and analyzed the correlation between them.　Results　The correlation between the long diameters of the right principal bronchus (Z), the right upper lobe bronchus (X), and the intermediate bronchus (Y) of male and female was Z=0.379X+0.955Y-0.691 (r=0.763, P<0.05) and Z=0.386X+0.358Y+6.340（r=0.745,P<0.05）, respectively.　Conclusion　The diameters of the right principal bronchus, the right upper lobe bronchus and intermediate bronchus have a high correlation. Correlation equation can provide a reference for accurate measurement and estimation the intersection area of the dismeter of the right principal bronchus and right upper lobe bronchus.

Key words: Right principal bronchus; , Right upper lobe bronchus; , Intermediate bronchus; , MSCT, Measurement

LI Lei, HAN Xin-wei, CAO Jing, WANG Su-ya, HUA Cheng-fei, KANG Tai. Imaging study of the intersection area of right principal bronchus and right upper lobe bronchus based on MSCT[J]. Chinese Journal Of Clinical Anatomy, 2018, 36(3): 264-267.

References

[1] 方毅, 李腾飞, 韩新巍, 等. Y型一体化自膨式覆膜气道金属支架在胸腔胃-气道瘘中的应用[J].中华结核和呼吸杂志,2015,38(8):562-565.
[2] Schweiger C, Cohen AP, Rutte MJ. Tracheal and bronchial stenoses and other obstructive conditions[J]. J Thorac Dis, 2016, 8(11): 3369-3378.
[3] 李宗明, 路慧彬, 任克伟, 等. 双倒Y型气道覆膜内支架治疗胸腔胃-右主支气管瘘的疗效观察[J].实用放射学杂志, 2016, 32(10):1586-1589.
[4] McGrath EE, Warriner D, Anderson P. The insertion of self expanding metal stents with flexible bronchoscopy under sedation for malignant tracheobronchial stenosis: a single-center retrospective analysis[J]. Arch Bronconeumol, 2012,48(2):43-48.
[5] Stockton PA, Ledson MJ, Hind CR, et al. Bronchoscopic insertion of Gianturco stents for the palliation of malignant lung disease: 10 year experience[J].Lung Cancer, 2003, 42(1):113-117.
[6] Oki M, Saka H. Double Y-stenting for tracheobronchial stenosis[J]. Eur Respir J, 2012, 40(6):1483-1488.
[7] 王洪武, 李冬妹, 张楠, 等. 气管内覆膜金属支架置入治疗食管气管瘘[J]. 中华结核和呼吸杂志, 2013, 36(5):390-392.
[8] 王洪武.严格掌握气管支架适应证,及时处理并发症[J].中华结核和呼吸杂志, 2014, 37(3):221-222.
[9] 张科, 魏宁, 徐浩, 等. 气管、支气管狭窄患者计算机气流动力学模拟参数改变及其临床意义[J].中华解剖与临床杂志, 2017,22(01): 23-28.
[10]Pompe E, van Rikxoort EM, Mets OM, et al. Follow-up of CT-derived airway wall thickness: Correcting for changes in inspiration level improves reliability[J]. Eur J Radiol, 2016 , 85(11):2008-2013.
[11] Oguma T, Hirai T, Niimi A, et al. Limitations of airway dimension measurement on images obtained using multi-detector row computed tomography[J]. PLoS One, 2013, 8(10): e76381.
[12]韩新巍, 路慧彬, 马骥, 等. 螺旋CT对日本大耳白兔气道的测量研究[J].介入放射学杂志, 2009, 18(1): 44-47.
[13]Robinson CL, Müller NL, Essery C. Clinical significance and measurement of the length of the right main bronchus[J].Can J Surg，1989, 32(1):27-28.
[14]Otoch JP, Minamoto H, Perini M, et al. Is there a correlation between right bronchus length and diameter with age [J]? J Thorac Dis，2013, 5(3):306-309.
[15]管政, 李琼, 刘士远. 国人主支气管长度及内径与体质量指数相关性的 CT 研究[J]. 实用放射学杂志, 2015, (10):1613-1616.
[16]叶靖, 陈苓, 侯会文, 等. 多层螺旋CT三维成像行国人气道径线分析[J]. 现代临床医学生物工程学杂志, 2005, 11(5):389-391.

Imaging study of the intersection area of right principal bronchus and right upper lobe bronchus based on MSCT

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