REPO

Annual Reports of Misasa Medical Center, Okayama University volume74
2004-02-01 発行

肺気腫と喘息のHRCT上のlow attenuation are(LAA)の性質の差。喫煙との関連を含めて

Mitsunobu, Fumihiro Kaken ID publons researchmap
Hosaki, Yasuhiro
Ashida, Kozo Kaken ID researchmap
Iwagaki, Naofumi
Nagata, Takuya
Fujii, Makoto
Takata, Shingo Kaken ID publons
Yokoi, Tadashi
Hamada, Masanori
Tanizaki, Yoshiro
Publication Date
2004-02-01
Abstract
The low attenuation area (LAA) of the lungs on high resolution computed tomography (HRCT) was evaluated in 20 asthmatics (10 ex-smokers and 10 never-smokers) and 10 patients with pulmonary emphysema (all ex-smokers) by ventilatory function, lung volume, DLco, and a ratio of expiratory LAA/inspiratory LAA. 1 . The % LAA of the lungs on HRCT was significantly larger in patients with pulmonary emphysema(PE) than in those with asthma, but there was not significant difference in % LAA between ex-smokers and never-smokers of asthmatics. 2. A ratio of expiratory Winspiratory LAA was significantly higher in patients with PE than in those with asthma , and the ratio was significantly higher in ex-smokers of asthmatics than in never-smokers (p<0.05). 3 . The difference in % residual volume and % DLco was significant between asthma and PE , and between ex - smokers and never-smokers of asthmatics (% RV : p<0.05, DLco : p<0.05) . 4 . The difference in the values of % FVC, % FEV(1) .O, and FEV1.0% was significant between asthma and PE, but not significant between ex-smokers and never- smokers of asthmatics. The results suggest that the difference in a ratio of expiratory W inspiratory LAA, % RV and % DLco was significant between ex - smokers and never - smokers of asthmatics , and cigarette smoking induces more irreversible changes of the lungs.
Keywords
low attenuation area
asthma
pulmonary emphysema
cigarette smoking
ISSN
1348-1258
NCID
AA11840279
NAID