多层螺旋CT诊断新生儿食管闭锁和食管气管瘘的价值  

Multi Slice Spiral CT in the Diagnosis of Esophageal Atresia and Esophagotracheal Fistula in Neonates

作　　者：崔若棣[1] 杨光勇 刘兆天 赵建设[1] CUI Ruodi;YANG Guangyong;LIU Zhaotian;ZHAO Jianshe(Medical Imaging Department of Jinan Children’s Hospital,Jinan 250022,Shandong,P.R.China)

机构地区：[1]济南市儿童医院医学影像科,山东济南250022

出　　处：《影像科学与光化学》2022年第1期124-127,共4页Imaging Science and Photochemistry

摘　　要：本研究目的是探讨多层螺旋CT(MSCT)在诊断食管闭锁和食管气管瘘的价值。选取食管闭锁和食管气管瘘患儿44例,比较分析MSCT与手术结果差异。结果显示,44例患儿中,Ⅰ型3例,Ⅱ型0例,Ⅲa型8例,Ⅲb型32例,Ⅳ型0例,Ⅴ型1例;MSCT判断Gross分型与手术结果Kappa值为0.901(P<0.05),一致性好,MSCT判断Gross分型准确率为95.45%;MSCT判断Ⅱ~Ⅳ型闭锁食管盲端间距离与手术测量比较差异无统计学意义(P>0.05);MinIP的多平面体积重组(MPVR)和胸部透明肺的容积再现(TL-VR)模式下测量闭锁食管盲端间距离比较差异无统计学意义(P>0.05);MSCT判断瘘口位置与手术结果Kappa值为0.873(P<0.05),一致性好,MSCT判断瘘口位置准确率为93.18%。MSCT诊断食管闭锁和食管气管瘘有较好的价值,值得临床使用。The purpose of this study was investigate the value of multi-slice spiral CT(MSCT)in the diagnosis of esophageal atresia and esophagotracheal fistula.A total of 44 children with esophageal atresia and esophagealtracheal fistula were selected to compare and analyze the difference between MSCT and surgical results.Esophageal atresia and esophageal trachea fistula patients 44 cases,Ⅰtype 3 cases,Ⅱtype 0 case,Ⅲa type 8 cases,Ⅲb type 32 cases,Ⅳtype 0 case,Ⅴtype 1 case.The Kappa value of Gross classification judged by MSCT and surgical results was 0.901(P<0.05),indicating good consistency,the accuracy of Gross classification judged by MSCT was 95.45%.MSCT judgmentⅡ-Ⅳatresia blind end the distance between the esophagus compared with surgical measurement,there was no statistical significance(P>0.05).There was no significant difference in the distance between the blind end of the occlusion esophagus measured by the multi plane volume reorganization of MinIP(MPVR)and the volume reconstruction of the transparent lung(TL-VR)mode(P>0.05).The Kappa value of MSCT in determining the location of fistula and the surgical results was 0.873(P>0.05),indicating good consistency.The accuracy rate of MSCT in determining the location of fistula was 93.18%.MSCT has a good value in the diagnosis of esophageal atresia and esophageal tracheal fistula,which is worthy of clinical use.

关 键 词：多层螺旋CT 食管闭锁 食管气管瘘 诊断价值 

分 类 号：R722.1[医药卫生—儿科]