İNSAN TRAKEOBRONŞİAL AĞACININ HER İKİ CİNSİYETİN FARKLI YAŞ GRUPLARINDA CT İLE MORFOMETRİK ÇALIŞMASI

Öz

ÖZET

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.

Anahtar Kelimeler: Trakeobronşial ağaç, morphometry, adult, CT.

Anahtar Kelimeler

• Trakeobronşial ağaç,morphometry,adult

Kaynakça

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