多层螺旋CT(MSCT)仿真支气管镜对儿童气管、支气管异物的诊断价值  

MSCT VIRTUAL BRONCHOSCOPY IN THE DIAGNOSIS OF THE DEVIANT SUBSTANCE IN TRACHEA AND BRONCHIA OF CHILDREN

作　　者：征锦[1] 姜岸秋[1] 施斌斌[1] 张萍[1] 吴祥生[1] 

机构地区：[1]江苏省苏北人民医院CT室,江苏扬州225001

出　　处：《实用临床医药杂志》2004年第5期63-65,共3页Journal of Clinical Medicine in Practice

摘　　要：目的　评价多层螺旋CT仿真支气管镜 (CTVB)对儿童气管、支气管异物的诊断价值。方法　对 12例临床高度怀疑气管、支气管异物的患儿行多层螺旋CT(MSCT)仿真支气管镜检查 ,自下咽部至膈面行轴位容积扫描 ,扫描后将容积数据传至GEAW 4 0工作站 ,运用Navigator功能软件获得CTVB图像 ,部分病例进行MPVR重建 ,结合CT原始图像进行诊断 ,并与纤维支气管镜检查对照。结果　 6例位于主支气管 ;2例位于气管 ,异物有花生米碎片 3例 ;玉米 2例 ;花生壳、黄豆及桃酥碎片各 1例 ;痰栓 4例。经纤维支气管镜取出异物或吸痰等治疗。结论　CTVB是一种非侵入性、无痛苦、安全、易为儿童所接受的检查方法 ,对儿童气管、支气管异物的诊断、术前筛选、定位、了解手术路径及术后复查等有很大的价值。Objective To evaluate diagnostic value of CT Virtual Bronc ho scopy (CTVB) on deviant substance in trachea and bronchia of children. Methods CTVB was used to make an axial volume scan from nether pharynx to midriff on 12 clinic high-suspected children with deviant substance in trac hea and bronchia. Then volume data were sent to GE AW 4.0 workstation and CTVB images were got by Navigator functional software. Some cases were reconstructed in MPVR, diagnosed with CT original images and had a comparison with Fibrous Bro nchia Pipe. Results 6 cases were in main bronchia; 2 cases we re in trachea; 3 cases of deviant substance were the fragment of peanut; 2 cases were corn and one shell of peanut, one bean, one fragment of cookie; 4 cases we re phlegm embolism. All were treated with Fibrous Bronchia Pipe. Conclu sion CTVB is a non-invasive, non-suffering, safe and easy-accepted examination method and was proved to be very valuable on diagnose of deviant sub stance in trachea and bronchia of children, filtering and locating before operat ion, path in operation and countercheck after operation.

关 键 词：多层螺旋CT 支气管镜 儿童 气管异物 支气管异物 诊断 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]