摘要
Abstract
Objective:To summarize the imaging and clinical information of communicating bronchopulmonary foregut malformation(CBPFM)in children.Methods:Retrospective analysis of the imaging and clinical information of 3 CBPFM confirmed by postoperative pathology at Jinan Children's Hospital.Among them,2 were female,one was 7 months and 3 days old,had difficulty feeding and had cyanotic lips for 7 months,and the other was 13 days old,suspected of pulmonary dysplasia,and coughed for 8 days.One male case,aged 12 years and 2 months,had clinical manifestations of intermittent chest pain for 10 years,which worsened for 4 months.All 3 cases underwent X-ray,gastrointestinal angiography,chest CT scan+enhanced,and cardiac CT A examination before surgery.Results:The lesion was in the left lung in 1 patient and in the right lung in 2 patients.All three cases were combined with esophagotracheal fistula,the fistulas in two cases were located in the lower esophagus,and one case was located in the upper esophagus.Among them,2 cases were accompanied by pulmonary dysplasia,1 case was accompanied by isolated lung,and 2 cases were accompanied by cardiac malformations.Digestive tract contrast clearly shows the location,shape and size of the fistula and CT examinations shows the characteristics of the disease and associated malformations.Cardiac CT A examination can supplement the condition of the heart and abnormal vascular development.Conclusion:CBPFM contains pulmonary tissue,trachea,and vascular abnormalities,and incorporates oesophageal trachea fistula.CT examinations provide a visual indication of lung tissue,trachea and vascular,anterointestinal development abnormalities and various associated malformations;cardiac CT A examination can display the condition of the heart and abnormal vascular development;digestive angiography provides a direct and clear indication of the location,morphology and size of the isolated lung substance and the abnormal pipe between the gastrointestinal tract.The combination of chest CT examination,cardiac CTA examination and digestive tract contrast is the optimal method of examination to diagnose the disease.关键词
支气管肺前肠畸形/胃肠道/影像诊断/CT检查/心脏CTA检查Key words
bronchopulmonary foregut malformation/gastrointestinal tract/imaging diagnosis/CT examination/cardiac CTA examination分类
医药卫生
