İnsan Trakeobronşial Ağacının Her İki Cınsıyetın Farklı Yaş Gruplarında Ct İle Morfometrik Çalışması

Year 2018, Volume: 1 Issue: 1, 8 - 16, 08.06.2018

Işık Tuncer

Abstract

Amaç: Trakeal çapların (transverse ve anteroposterior), ana bronşların ve lober bronşların uzunluklarının CT taramasıyla ölçülmesi.Klinik değişkenlerle,trakeobronşial ağaç CT taraması ölçümleri arasındaki ilişkiyi değerlendirmek.Uygun ölçülerde duble lümen tüp seçimine yardım etmek.
Materyal ve Metot: Bu çalışma Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Anatomi ve Radyoloji Anabilim Dalı bünyesinde gerçekleştirilmiştir. 150 birey üzerinde (28’i 40 yaşından küçük, 122’si 40 yaşından büyük) uygulandı. Trachea length (TU), diameter, (anteroposterior, transverse) (TAPÇ, TTRÇ), right main bronchus (RMB), Left main bronchus (LMB), right upper lobe bronchus (RUB), middle lobe bronchus (MLB), right lower lobe bronchus (RLB), left upper lobe bronchus (LUB) ve left lower lobe bronchus uzunlukları ölçüldü.
Bulgular: Parametrelerin yaş ve cinsiyete göre ortalama ve standart sapma değerleri hesaplandı. Tüm parametreler ve yaş arasında önemli bir korelasyon vardı. TAPÇ, MLBU, RLBU hariç, bütün değerler 40 yaş üstü bireylerde fazla bulunmuştur. Bütün parametrelerle cinsiyet arasında da korelasyon gözlenmiştir (p<0.05). Bütün değerler erkeklerde fazla bulunmuştur.
Sonuç: İnsan TBA’da işaretli bir dimorfizm vardır. Yetişkin TBA’nın in vivo varyasyonları standart tanımlamalardakinden daha büyüktür. Bu bilgi göğüs CT taramalarını yorumlamada ve respiratuar ölü boşluğu hesaplamada değerli olabilir.

Keywords

Trakeobronşial ağaç, morphometry, adult, CT

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