Karakılıç Ali, Karaçam Volkan, Ersöz Hasan, Ağababaoğlu İsmail, Ulugün Fatma İlknur, Şanlı Aydın
Department of Thoracic Surgery, Menemen State Hospital, İzmir, Turkey.
Department of Thoracic Surgery, Medical Faculty of Dokuz Eylül University, İzmir, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Apr 30;26(2):279-285. doi: 10.5606/tgkdc.dergisi.2018.15009. eCollection 2018 Apr.
This study aims to investigate whether rib length to costal cartilage length ratio is effective in determining the severity of chest wall deformity.
The study included 72 patients (64 males, 8 females; mean age 18.5±6 years; range, 6 to 40 years) who were operated because of chest wall deformity and 38 control subjects (22 males, 16 females; mean age 14.6±4.2 years; range, 6 to 25 years). Of the patients, pectus excavatum was detected in 69 and pectus carinatum in three. All participants' rib length-costal cartilage length ratio index, Haller index, correction index and computed tomography depression index were measured and compared.
In patient group, there was a mild-level significant negative relationship between computed tomography depression index and rib length-costal cartilage length ratio index (p<0.05). Except for the computed tomography depression index, there was no significant relationship between rib length-costal cartilage length ratio index and other indexes and control group indexes in patient group. Rib length was higher than costal cartilage length in patient group compared to control group. There was no statistically significant difference between patient and control groups in terms of costal cartilage length (p>0.05).
Contrary to what would be expected, there was no significant difference between patient and control groups in terms of costal cartilage length. Therefore, studies with larger series are required to demonstrate if costal cartilage length is effective in determining the severity of chest wall deformities.
本研究旨在探讨肋骨长度与肋软骨长度之比在确定胸壁畸形严重程度方面是否有效。
该研究纳入了72例因胸壁畸形接受手术的患者（64例男性，8例女性；平均年龄18.5±6岁；范围6至40岁）和38例对照者（22例男性，16例女性；平均年龄14.6±4.2岁；范围6至25岁）。患者中，69例为漏斗胸，3例为鸡胸。测量并比较了所有参与者的肋骨长度-肋软骨长度比指数、哈勒指数、矫正指数和计算机断层扫描凹陷指数。
在患者组中，计算机断层扫描凹陷指数与肋骨长度-肋软骨长度比指数之间存在轻度显著负相关（p<0.05）。除计算机断层扫描凹陷指数外，患者组的肋骨长度-肋软骨长度比指数与其他指数及对照组指数之间无显著相关性。与对照组相比，患者组的肋骨长度高于肋软骨长度。患者组和对照组在肋软骨长度方面无统计学显著差异（p>0.05）。
与预期相反，患者组和对照组在肋软骨长度方面无显著差异。因此，需要更大样本量的研究来证明肋软骨长度在确定胸壁畸形严重程度方面是否有效。
