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Vojnosanitetski pregled
2019, vol. 76, br. 2, str. 186-191
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.2298/VSP170321084V

Creative Commons License 4.0
Procena učestalosti i anatomskih karakteristika otvora tela sternuma u populaciji centralne Srbije pomoću multidetektorske kompjuterizovane tomografije (MDCT)
aUniversity of Kragujevac, Faculty of Medical Sciences, Department of Anatomy, Kragujevac + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade
bUniverzitet u Kragujevcu, Medicinski fakultet
cMilitary Medical Academy, Clinic for Orthopedic Surgery, Belgrade
dUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade
eUniversity of Kragujevac, Faculty of Medical Sciences, Department of Surgery, Kragujevac
fUniversity Clinical Center of Republic of Srpska,Clinic for General and Abdominal Surgery, Bosnia and Herzegovina
gAmbulance Brigade of Guards, Belgrade

e-adresa: ivanaanatom@yahoo.com

Sažetak

Uvod/Cilj. Jedna od najučestalijih anatomskih anomalija sternuma je otvor, najčešće jedan, obično lociran u donjem delu tela grudne kosti. Učestalost ove malformacije sternuma varira u zavisnosti od ispitivane etničke populacije. Klinički značaj otvora tela sternuma proizilazi iz činjenice da se obično nalazi u neposrednoj blizini srca, pluća i drugih vitalnih organa grudne duplje, kao i mogućnosti nastanka po život opasnih komplikacija, usled povrede ovih organa, prilikom dijagnostičkih i terapeutskih procedura na stenumu. Cilj ovog istraživanja bio je da se utvrdi učestalost i morfometrijske karakteristike otvora tela grudne kosti u populaciji centralne Srbije. Metode. U studiji su analizirani snimci multi-detektorske kompjuterizovane tomografije (MDCT) grudnog koša kod 422 pacijenata oba pola. Pregledi su obavljeni na 64-slajsnom MDCT aparatu (Aquilion 64, Toshiba, Japan). Sva skeniranja su izvršena u aksijalnoj ravni, uz naknadne multiplanarne rekonstrukcije (MPR). S obzirom na angulaciju sternuma u predelu tela korišćene su kose koronalne ravni da bi se prikazala cela dužina sternuma, kao i visina sternalnog foramena. Merenje je izvršeno upotrebom komercijalno dostupnog softvera (Imaging Software ver. 4.1.14.0, Vital-Images). Rezultati. Otvor tela grudnog koša, lociran u distalnom segmentu tela sternuma uočen je kod 24 pacijenta, odnosno sa učestalošću od 5,9% u ispitivanoj populaciji, a sa nešto većom učestalošću kod muškaraca. Prosečne dimenzije otvora bile su 3,9 × 4,2 mm. Srednja vrednost udaljenosti kože do otvora iznosila je 12,7 ± 3,3 mm, udaljenosti kože do perikarda 37,3 ± 8,2 mm, dok je prosečno rastojanje od kože do pleure iznosilo 25 ± 5,9 mm. Prosečna dubina otvora iznosila je 8,7 ± 2 mm, dok je srednja vrednost rastojanja od zadnje ivice otvora do perikarda iznosila 12,7 ± 9,1 mm. Zaključak. Studijom je utvrđena učestalost otvora tela grudne kosti od 5,9% u ispitivanoj populaciji. MDCT pregledi grudnog koša, koji prethode intervencijama na grudnoj kosti, mogu biti od značaja za prevenciju komplikacija punkcije sternuma.

Ključne reči

sternum; mišićno-skeletne anomalije; tomografija; kompjuterizovana; multidetektorska; prevalenca; rizik; procena; srbija

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