影像学检查方法对先天性血管环的诊断价值  

Assessment of Imaging manifestations of Congenital Vascular Rings

作　　者：郑楠楠[1] 邵剑波[1] 王芳[1] 龚立[1] 方磊[1] 

机构地区：[1]武汉市妇女儿童医疗保健中心影像中心,430016

出　　处：《临床放射学杂志》2016年第3期444-447,共4页Journal of Clinical Radiology

摘　　要：目的 分析先天性血管环的各种影像学表现,提高对本病的认识。方法 搜集2011年1月至2014年12月间经确诊的先天性血管环患者34例,年龄1个月~11岁。临床表现为反复呼吸道感染者22例,6例表现为反复呕吐,进食困难。结果 胸片和食管造影可以通过显示气管狭窄、移位及食管受压高度提示完全性血管环的诊断,但单凭胸片和钡剂食管造影检查通常不能确定血管环的特定类型。MSCT及MRI可清晰显示先天性血管环的类型及气管受压情况。结论 多种影像学检查相结合能全面显示先天性血管环及其对气管食管的压迫情况,为临床提供更多有价值的信息。Objective To analyze the imaging manifestations of congenital vascular ring and improve clinical under- standing of the disease. Methods Thirty-four diagnosed patients with congenital vascular rings, aged 1 month to 11 years old from January 2011 to December 2014 were selected. The clinical manifestations were recurrent respiratory tract infection in 22 cases, and recurrent vomiting with difficulty in eating in 6 cases. Results The diagnosis of a complete vascular ring can usually be established with a high level of certainty with a barium oesophagogram. Determining the specific type of ring with chest radiographs and esophagogram alone was usually not possible. MSCT and MRI could clearly show the type of congenital vascular ring and tracheal compression. Conclusion The combination of various imaging methods could dis- play congenital vascular ring, tracheoesophageal compression; and could provide more valuable information for clinical out-come.

关 键 词：血管环 气管狭窄 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R725.4[医药卫生—诊断学]