临床小儿外科杂志2018，Vol.17Issue(1)：47-50,4.DOI:10.3969/j.issn.1671-6353.2018.01.012
多排螺旋CT气道、血管三维重建评估先天性左肺动脉吊带患儿气道狭窄的作用探讨
Three-dimensional reconstruction imaging of airway and vascular multislice spiral computed tomography for evaluating left pulmonary artery sling
刘鹏 1张建良 2刘建滨 2钟礼立 3周文武4
作者信息
- 1. 中南大学湘雅公共卫生学院 湖南省长沙市,410078
- 2. 湖南省人民医院放射科 湖南省长沙市,410002
- 3. 湖南省人民医院儿科 湖南省长沙市,410002
- 4. 湖南省人民医院胸外科 湖南省长沙市,410002
- 折叠
摘要
Abstract
Objective To explore the value of multislice computed tomography (MSCT) three-dimensional reconstruction in the diagnosis and evaluation of left pulmonary artery sling (LPAS) and airway stenosis.Methods Retrospective analyses were performed for 12 cases of LPAS with tracheobronchial abnormalities.Results The clinical types were Ⅰ A (n =3),Ⅰ B (n =1),Ⅱ A (n =3),Ⅱ B (n =4) and special (n =1).All of them had concurrent tracheobronchial stenosis.Tracheobronchial stenosis was short (n =8) or long (n =4).Among 6 cases with other cardiac malformations,there were atrial septal defect (n =1),ventricular septal defect (n =1),patent ductus arteriosus (n =1) and persistent left superior vena cava (n =1) while another two cases had patent foramen ovale.Bronchoscope revealed complete tracheal cartilage ring (n =2),trachomalacia (n =1),epiglottis softening (n =2) and laryngomalacia (n =3).Conclusion As an ideal imaging modality for simultaneously identifying LPAS and associated tracheobronchial anomalies,MSCT airway and vascular three-dimensional reconstruction imaging provides important information for PSA classification.关键词
肺动脉/畸形/气管狭窄/体层摄影术,X线计算机Key words
Pulmonary Artery/AB/Tracheal Stenosis/Tomography, X-Ray Computed引用本文复制引用
刘鹏,张建良,刘建滨,钟礼立,周文武..多排螺旋CT气道、血管三维重建评估先天性左肺动脉吊带患儿气道狭窄的作用探讨[J].临床小儿外科杂志,2018,17(1):47-50,4.
