蚌埠医学院学报2024,Vol.49Issue(9) :1149-1152.DOI:10.13898/j.cnki.issn.1000-2200.2024.09.006

非小细胞肺癌病人竖脊肌面积与肺功能之间的相关性

Correlation between the erector spinae muscle area and lung function in patients with non-small cell lung cancer

孟倩倩 王文娟 贡会源 余松涛 王欣 周晓宇
蚌埠医学院学报2024,Vol.49Issue(9) :1149-1152.DOI:10.13898/j.cnki.issn.1000-2200.2024.09.006

非小细胞肺癌病人竖脊肌面积与肺功能之间的相关性

Correlation between the erector spinae muscle area and lung function in patients with non-small cell lung cancer

孟倩倩 1王文娟 1贡会源 2余松涛 3王欣 3周晓宇1
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作者信息

  • 1. 蚌埠医科大学第一附属医院呼吸与危重症医学科,安徽 蚌埠233004
  • 2. 蚌埠医科大学第一附属医院胸外科,安徽 蚌埠233004
  • 3. 蚌埠医科大学第一附属医院放射科,安徽 蚌埠233004
  • 折叠

摘要

目的:探讨非小细胞肺癌(NSCLC)病人竖脊肌横截面积与肺功能之间的相关性.方法:回顾性分析NSCLC病人92例临床资料,所有病人术前均进行肺功能测定和胸部CT检查,收集病人肺功能各项指标及相关临床信息,在病人术前胸部CT图像上,识别并手动勾画竖脊肌的肌肉轮廓,记录竖脊肌横截面积数值.结果:不同病灶直径的NSCLC病人肺功能指标间差异均无统计学意义(P>0.05).NSCLC病人竖脊肌横截面积与年龄呈明显负相关关系(P<0.01),与身高和体质量均呈明显正相关关系(P<0.01);且竖脊肌横截面积与肺功能指标中第一秒用力呼气量、用力肺活量、呼气峰值流量、剩余肺活量75%时呼气流速均呈明显正相关关系(P<0.01),而与剩余肺活量50%时呼气流速和剩余肺活量25%时呼气流速均无明显相关关系(P>0.05).结论:NSCLC病人竖脊肌横截面积与肺功能间存在相关性.

Abstract

Objective:To investigate the correlation between the cross-sectional area of erector spinae muscle and lung function in patients with non-small cell lung cancer ( NSCLC ) .Methods:The clinical data of 92 patients with NSCLC were retrospectively analyzed.The pulmonary function measurement and chest CT examination in all patients were performed before surgery,and the pulmonary function indexes and related clinical information were collected.On the preoperative chest CT images of patients,the muscle outline of erector spinae muscle were identified and manually sketched,and the cross-sectional area of the erector spinae muscle were recorded.Results:There was no statistical significance in the lung function indexes among NSCLC patients with different lesion diameters(P>0.05).The cross-sectional area of erector spinae muscle in NSCLC patients was negatively correlated with the age(P<0.01),and positively correlated with the height and body mass(P<0.01).The cross-sectional area of erector spinae muscle was positively correlated with the forced expiratory volume in the first second,forced vital capacity,peak expiratory flow and expiratory flow rate at 75% of residual vital capacity(P<0.01),but there was not significant correlation between the expiratory flow rate at 50% of residual vital capacity and 25% of residual vital capacity(P>0.05).Conclusions:There is a correlation between the cross-sectional area of erector spinae muscle and lung functio n in NSCLC patients.

关键词

非小细胞肺癌/肺功能/竖脊肌/胸部计算机断层扫描

Key words

non-small cell lung cancer/lung function/erector spinae muscle/chest computed tomography

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基金项目

安徽省高校优秀青年骨干教师国外访问研修项目(gxgwfx2021031)

蚌埠医学院校级科研计划项目(Byycx22113)

出版年

2024
蚌埠医学院学报
蚌埠医学院

蚌埠医学院学报

CSTPCD
影响因子:0.917
ISSN:1000-2200
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