气管镜测量人体气管长度和内径及左、右主支气管长度的研究

发布时间：2018-11-16 18:03

【摘要】：目的通过气管镜测量气管长度、内径以及左、右主支气管长度,为临床气道疾病的诊治提供理论基础。方法连续性纳入30例肺部病变较轻的患者行气管镜检查,测量患者气管长度,隆突上第5气管环和隆突上第10气管环左右径及前后径,以及左、右主支气管长度。结果气管以及左、右主支气管的长度分别为(13.09±1.40)cm、(4.57±0.51)cm、(1.80±0.72)cm。本研究测得电子气管镜(Olympus BF-260)距病变1 cm时的放大倍数为10.72,以此为基础测量隆突上第5气管环左右径为(2.76±0.32)cm,前后径为(2.44±0.27)cm;隆突上第10气管环左右径为(2.97±0.33)cm,前后径为(2.72±0.36)cm。隆突上第10气管环左右径及前后径均较隆突上第5气管环左右径及前后径大,且差异有统计学意义(P0.05)。结论本研究先行测量奥林巴斯BF-260的放大倍数,以此为基础用BF-260测量30例肺部病变较轻患者气管以及左、右主支气管长度和气管内径,客观反映了人体平静呼吸时气道的解剖结构。
[Abstract]:Objective to provide theoretical basis for clinical diagnosis and treatment of airway diseases by measuring trachea length, inner diameter, left and right main bronchus length. Methods the trachea length, the left and right diameter of the 5th and 10th tracheal rings, and the length of the left and right main bronchi were measured by endoscopy in 30 patients with mild pulmonary lesions. Results the length of trachea and left and right main bronchi were (13.09 卤1.40) cm, () 4.57 卤0.51) cm, (1.80 卤0.72) cm., respectively. In this study, we measured the magnification of the fifth tracheal annulus on the basis of an electron tracheoscopy (Olympus BF-260) at 1 cm from the lesion. The left and right diameters of the fifth tracheal ring on the Carina process were (2.76 卤0.32) cm, and the anteroposterior diameter was (2.44 卤0.27) cm;. The left and right diameters of the 10th tracheal ring in the Carina process were (2.97 卤0.33) cm, and (2.72 卤0.36) cm.. The left and right diameter and anteroposterior diameter of the 10th tracheal ring on the Carina process were larger than that of the fifth tracheal ring on the Carina process, and the difference was statistically significant (P0.05). Conclusion in this study, the magnification of Olympus BF-260 was measured first, and the length and diameter of the left and right main bronchus and trachea were measured by BF-260 in 30 patients with mild pulmonary lesions. It objectively reflects the anatomical structure of the airway when the human body breathes peacefully.
【作者单位】：上海交通大学医学院附属新华医院呼吸科;
【分类号】：R56

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