中国医疗设备2017，Vol.32Issue(7)：44-46,96,4.DOI:10.3969/j.issn.1674-1633.2017.07.013
多层螺旋CT三维重建技术在婴幼儿气道异物诊断中的应用价值
Application Value of Multi-Slice Spiral CT in Diagnosis of Bronchial Foreign Bodies in Pediatric Patients
张朋 1刘鹏 1刘杰 1梁琼鹤 1姜辉1
作者信息
- 1. 南京医科大学附属儿童医院 放射科,江苏 南京 210008
- 折叠
摘要
Abstract
Objective This paper aimed to evaluate the application value of the multi-slice spiral CT in the diagnosis of bronchial foreign bodies in pediatric patients aged from 0 to 3 years old. Methods Retrospectively analyzed the imaging data of 197 pediatric patients who were diagnosed as bronchial foreign bodies by fiber optic bronchoscopy. All patients underwent 64-slice CT axial scanning and post-processed reconstruction including multi-planner reformation, curved planar reconstruction and minimum intensity projection. 58 cases of children's images were processed by CT virtual endoscopy, and evaluated if there were significant statistical difference between the two groups. Results Except 3 patients was misdiagnosed, the remaining 194 cases of foreign body size could be clearly displayed and diagnosed, 1 case happened in throat, 8 cases in trachea, 2 cases in bifurcation of trachea, 102 cases in the right bronchus, 77 cases in the left bronchus and 4 cases in both the right and left bronchus. Indirect accompanied signs were happened in the majority of patients, such as emphysema, pneumonia, atelectasis, mediastinal emphysema and subcutaneous emphysema. There was no significant difference between the two groups. Conclusion The multi-slice spiral CT is non-invasive examination and displays bronchial foreign bodies in pediatric patients accurately and visibly, so it can be used as the most important examination before fiber optic bronchoscopy.关键词
婴幼儿/支气管镜/多层螺旋CT/三维重建/仿真内窥镜Key words
infant/bronchoscopy/multislice spiral computed tomography/three-dimensional reconstruction/virtual endoscopy分类
医药卫生引用本文复制引用
张朋,刘鹏,刘杰,梁琼鹤,姜辉..多层螺旋CT三维重建技术在婴幼儿气道异物诊断中的应用价值[J].中国医疗设备,2017,32(7):44-46,96,4.
