de Jong P A, Long F R, Wong J C, Merkus P J, Tiddens H A, Hogg J C, Coxson H O
Erasmus MC-Sophia, Dept of Paediatric Pulmonology and Allergology, Rotterdam, The Netherlands.
Eur Respir J. 2006 Feb;27(2):261-7. doi: 10.1183/09031936.06.00070805.
The aim of the current study was to use computed tomography (CT) to estimate airway wall and lumen, and arterial and parenchyma dimensions in children throughout the growth period, and to provide normative data to study alterations caused by pulmonary disease. Clinical CT scans reported as normal that were performed in children for nonpulmonary and noncardiac reasons were analysed for lung weight, gas volume, lung expansion, lung surface/volume ratio, airway wall area, airway lumen area, airway lumen perimeter, arterial area and airway surface length/area ratio. The age range of the 50 subjects was 0-17.2 yrs. The data showed only little increase in lung expansion throughout childhood (n = 32). There was substantial variability in lung expansion between subjects. Airway wall and lumen and arterial area were exponentially associated with subjects' height (n = 50). Airway surface length/area ratio was linearly associated to alveolar surface/volume ratio. The data from the current study provide normative computed tomography estimates of airway wall and lumen, and arterial and parenchyma dimensions throughout the growth period that may be useful for the study of alterations in disease.
本研究的目的是利用计算机断层扫描(CT)评估整个生长发育期儿童的气道壁和管腔以及动脉和实质的尺寸,并提供规范数据以研究肺部疾病引起的改变。对因非肺部和非心脏原因在儿童中进行的报告为正常的临床CT扫描进行分析,以获取肺重量、气体体积、肺扩张、肺表面积/体积比、气道壁面积、气道管腔面积、气道管腔周长、动脉面积和气道表面长度/面积比。50名受试者的年龄范围为0至17.2岁。数据显示整个儿童期肺扩张仅略有增加(n = 32)。受试者之间的肺扩张存在很大差异。气道壁、管腔和动脉面积与受试者身高呈指数相关(n = 50)。气道表面长度/面积比与肺泡表面积/体积比呈线性相关。本研究的数据提供了整个生长发育期气道壁和管腔以及动脉和实质尺寸的规范CT评估,这可能有助于研究疾病中的改变。