儿童支气管扩张38例支气管镜与CT表现分析  

Analysisof bronchoscopy and CT in 38 cases of bronchiectasis in children

作　　者：王薇 邓文华 李卉 舒俊华[1] 吴亚斌[1] WANG Wei;DENG Wenhua;LI Hui;SHU Junhua;WU Yabin(Children’s Respiratory Department,Maternal and Child Health Hospital of Hubei Province,Wuhan,Hubei 430070,China)

机构地区：[1]湖北省妇幼保健院儿童呼吸科,湖北武汉430070

出　　处：《安徽医药》2020年第12期2460-2462,I0005,共4页Anhui Medical and Pharmaceutical Journal

基　　金：湖北省卫生计生科研基金项目(WJ2018H0171);湖北省卫生健康委员会基金项目(WJ2019H162)。

摘　　要：目的分析支气管扩张病儿的影像学及支气管镜下表现。方法选择2015年12月至2018年1月在湖北省妇幼保健院儿童呼吸科住院诊断为支气管扩张的病儿,回顾性分析其临床表现、病原学检查、CT检查、支气管镜检查及复诊结果。结果共收集38例支气管扩张病例,高分辨率CT表现28例(73.7%)为支气管扩张,10例(26.3%)无支气管扩张征象;支气管镜下表现34例(89.5%)表现为“鱼骨”征,4例(10.5%)无特异性表现。出院后复诊,10例入院高分辨CT无支气管扩张征象,而支气管镜下表现为“鱼骨”征者,4~6月后复查高分辨CT示支气管扩张;4例支气管镜无特异性表现,而入院肺部高分辨CT示支气管扩张者,4~6月后肺部高分辨率CT复查支气管扩张征象消失。结论支气管扩张病儿支气管镜表现较高分辨率CT更准确与直观,可明确病原及病因,同时还可进行支气管镜治疗。Objective To analyze the imaging and bronchoscopy performance of children with bronchiectasis,and to explore the re⁃lationship with the prognosis of children with bronchiectasis.Methods Children with a diagnosis of bronchiectasis who were admit⁃ted to the Children’s Respiratory Department of Maternal and Child Health Hospital of Hubei Province from December 2015 to January 2018 were retrospectively analyzed for their clinical manifestations,etiology,CT,bronchoscopy,and follow⁃up results.Re⁃sults A total of 38 cases of bronchiectasis were collected.28 cases(73.7%)of high⁃resolution CT showed bronchiectasis,and 10 cases(26.3%)had no signs of bronchiectasis;34 cases(89.5%)of bronchoscopy showed"fish bone"sign,4 cases(10.5%)showed no specific manifestations.After discharge,10 patients were admitted to the hospital with no signs of bronchiectasis with high⁃resolution CT and bronchoscopy showed"fishbone"sign,and high⁃resolution CT showed bronchiectasis after 4 to 6 months;4 patients had no specific manifestations of bronchoscopy and were admitted to the hospital with signs of bronchiectasis with high⁃res⁃olution CT,and the high⁃resolution CT reexamination of bronchiectasis disappeared after 4 to 6 months.Conclusion The bronchos⁃copy performance of children with bronchiectasis is more accurate and intuitive than that of high⁃resolution CT,which can clarify the pathogen and etiology,and can also perform bronchoscopy treatment and evaluate the prognosis of children.

关 键 词：支气管扩张 支气管镜检查 支气管肺泡灌洗 体层摄影术 X线计算机 儿童 

分 类 号：R725.6[医药卫生—儿科]