小儿气管及支气管异物的CT诊断(附12例内镜报告)  

CT Diagnosis of foreign bodies in the trachea and bronchi of children

作　　者：何小川[1] 罗新[1] 

机构地区：[1]湖南省岳阳市华容县人民医院核磁CT科,424200

出　　处：《中国医疗前沿》2011年第10期70-71,共2页China Healthcare Innovation

摘　　要：目的探讨薄层CT扫描技术在小儿气管及支气管异物诊断中的应用价值。方法气管内异物1例;右侧支气管内异物5例;左侧支气管内异物6例。金属异物1例;黄豆1例;豌豆1例;爆米花1例;果冻1例;蚕豆2例;花生米2例;瓜子3例。所有病例均行薄层CT扫描检查。所获图像经3位不同资历医师观察。所有病例均为纤维支气管镜取出异物证实。结果薄层CT扫描均能显示异物,术前正确诊断,无一例漏诊。但异物性质未定,仅能区别为不透X线和透X线异物。结论薄层CT扫描技术在小儿气管支气管异物诊断中,可明确异物诊断,可作为小儿透X线气管异物的常规检查。Objective To evaluate the clinical application of thin slice technique for CT Diagnosis of foreign bodies in the trachea and bronchi.Methods There are 1 case with foreign body in the trachea,5 cases in the right bronchi and 6 cases in the left bronchi.There are 1 case with metallic foreign body,1 case with soybeans,1 case with garden pea,1 cases with popcorn,1 case with fruit jelly,2 cases with broadbean,2 cases with peanuts and 3 cases with melon-seeds.All of the cases were examined with thin slice technique,observed by three doctors of different level and confirmed by bronchofibroscopy.Results The thin-slice imagings could demonstrate all kind of foreign bodies before operations.But those qulities can＇t be definited apart from radiopaque foreign bodies or nopaque ones.Conclusion Thin slice technique could be used to diagnose foreign bodies in the trachea and bronchi of children exactly,and should be treated as a convertional CT san mode to children＇s nopaque foreign bodies.

关 键 词：小儿 气管及支气管 异物 薄层CT扫描技术 

分 类 号：R816.4[医药卫生—放射医学]