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

    • 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 function in NSCLC patients.

       

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