食管吞钡造影及造影后CT平扫在诊断梨状窝瘘中的价值探讨  

On the Value of Esphagogram and CT Scan after Esphagogram in Diagnostic of Pyriform Sinus Fistula

作　　者：吴伟军[1] 韩燕乔[1] 龚振华[2] 

机构地区：[1]上海交通大学附属儿童医院放射科,上海200040 [2]上海交通大学附属儿童医院外科,上海200040

出　　处：《华西医学》2009年第12期3104-3105,共2页West China Medical Journal

摘　　要：目的:通过食管吞钡造影及造影后CT平扫检查提高梨状窝瘘的诊断率。方法:平卧位左、右、前、后斜位和头低足高位食管吞钡后透视观察有无钡剂外漏后,行CT平扫检查。扫描范围上起口咽部,下至胸骨上窝,层距厚3 mm。扫描后图像作多层面重建处理。结果:透视下见到瘘管3例,另3例经CT多层面重建隐约见到瘘管,但14例均可见漏出的钡剂滞留影,可判断瘘管的存在。结论:食管吞钡造影及造影后CT平扫可提高对梨状窝瘘诊断的敏感性和诊断率。Objective: To improve the diagnosis rate of the pyriform sinus fistula by means of esphagogram and CT scan after esphagogram.Methods:To observe whether there is the leakage of barium by X-ray check after barium swallowed in the five positions of body,followed by CT scan.The scanning ranges from oropharyngeal to Waterloo on sternum.The thickness is 3mm.The image is dealt with multi-dimensional reconstruction after the scan.Results:Among fourteen cases,the fistula can be seen in three,and be indistinctly seen...

关 键 词：梨状窝瘘 食管吞钡造影 CT 

分 类 号：R766.5[医药卫生—耳鼻咽喉科]