儿童交通性支气管肺前肠畸形影像分析  

Imaging analysis of communicating bronchopulmonary foregut malformation in children

作　　者：胡栋梁 李京恩[1] HU Dongliang;LI Jingen(Department of Radiology,Children's Hospital of Soochow University,Suzhou,Jiangsu 215000,China)

机构地区：[1]苏州大学附属儿童医院放射科,江苏苏州215000

出　　处：《影像研究与医学应用》2022年第20期28-30,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:分析儿童交通性支气管肺前肠畸形的影像学表现。方法:回顾性分析于苏州大学附属儿童医院经病理证实的2例儿童交通性支气管肺前肠畸形的影像学表现,其中男1例,日龄2天,临床症状为反复发作的咳嗽、气促;女1例,月龄4个月,临床症状为出生后反复呕吐,伴有发热。2例患儿均接受胸部X线、上消化道造影(GI)及胸部CT平扫、增强检查。结果:2例病灶均位于右下肺且合并食管-气管瘘,GI明确显示瘘口位置、大小、走向,CT检查显示该病表现及合并畸形,平扫1例显示右下肺大片致密影,其内可见多发囊状低密度影,1例显示右下肺团块影,2例病灶均位于右下肺后基底段,均合并肺部炎症。CT增强扫描均可见通入右下肺病灶的供血动脉(1例为腹腔干分支血管,1例为降主动脉分支血管)。结论:胸部CT检查可清晰地显示气道、肺组织、血管以及前肠发育的异常情况以及各种合并畸形;而上消化道造影可直接、清晰地显示隔离肺组织与胃肠道之间异常通道的位置、大小及走向。胸部CT和消化道造影检查相结合是诊断本病的最佳方法。Objective To analyze the imaging manifestations of communicating bronchopulmonary foregut malformation in children.Methods The imaging findings of 2 children with communicating bronchopulmonary foregut malformation confirmed by pathology in the Children's Hospital of Soochow University were retrospectively analyzed.One of them was male,2 days old,and the clinical symptoms were recurrent cough and shortness of breath;The other was female,4 months old,presented with recurrent vomiting and fever after birth.The two children were underwent X-ray,gastrointestinal image(GI),chest CT plain scan and enhanced examination.Results Both lesions were located in the right lower lung and were combined with esophagus-tracheal fistula.GI clearly showed the location,size,and direction of the fistula.CT examination showed the disease and its associated deformities.Conclusion Chest CT examination can clearly show airway,lung tissue,blood vessels and abnormal development of foregut,and various combined malformations.

关 键 词：支气管肺隔离征 支气管肺前肠畸形 胃肠道 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]