3D仿真纤维支气管镜联合VR染色在儿童气道异物中的应用价值  

The Application Value of 3D Virtual Fiberoptic Bronchoscopy Combined with VR Staining in Airway Foreign Bodies in Children

作　　者：周怡 张秀萍 何杰 尹一伟 ZHOU Yi;ZHANG Xiuping;HE Jie(Department of Radiology,the Third Hospital of Changsha,Changsha Hunan 410007)

机构地区：[1]长沙市第三医院放射科,湖南长沙410007 [2]湖南省儿童医院放射科,湖南长沙410007

出　　处：《医学临床研究》2025年第4期590-592,596,共4页Journal of Clinical Research

基　　金：湖南省卫生健康委员会科研计划课题(C20180652)。

摘　　要：【目的】探讨3D仿真纤维支气管镜联合VR染色在儿童气道异物中的应用价值。【方法】回顾性分析103例支气管异物患儿的CT及临床资料,对图像进行处理后,分析3D仿真纤维支气管镜联合VR技术与纤维支气管镜在气道异物探查方面的一致性。【结果】103例患儿气道异物位于气管及左侧支气管1例,左侧支气管38例,右侧支气管63例,双侧1例,3D仿真纤维支气管镜联合VR染色技术诊断正确103例。3D仿真纤维支气管镜联合VR染色与纤维支气管镜在气道异物探查方面具有较好的一致性(Kappa值=0.934)。间接征象:肺气肿98例,阻塞性肺炎43例,肺不张6例,皮下气肿及纵隔积气2例,胸腔积液1例。【结论】3D仿真纤维支气管镜联合VR染色是一种检查气道异物安全且有效的方法,可作为疑似气道异物患者的首选检查方法。【Objective】To explore the application value of 3D virtual fiberoptic bronchoscopy combined with VR staining in airway foreign bodies in children.【Methods】A retrospective analysis was conducted on the CT and clinical data of 103 children with bronchial foreign bodies.To analysis the 3D Virtual fiberoptic bronchoscopy combined with VR staining technology and fiberoptic bronchoscopy in the exploration of airway foreign bodies after post-processing of the images.【Results】Among the 103 children,airway foreign bodies were located in the trachea and the left bronchus in 1 case,the left bronchus in 38 cases,the right bronchus in 63 cases,and bilateral in 1 case.3D Virtual fiberoptic bronchoscopy combined with VR staining technology was used and 103 cases were diagnosed correctly.3D Virtual fiberoptic bronchoscopy combined with VR technology has a good consistency with fiberoptic bronchoscopy in the exploration of airway foreign bodies(Kappa=0.934).Indirect signs:98 cases of emphysema,43 cases of obstructive pneumonia,6 cases of atelectasis,2 cases of subcutaneous emphysema and mediastinal emphysema,and 1 case of pleural effusion.【Conclusion】For airway foreign bodies,3D Virtual fiberoptic bronchoscopy combined with VR staining is a safe and effective method,and can be used as the preferred examination method for patients with suspected airway foreign bodies.

关 键 词：气管 支气管 异物 支气管镜检查 体层摄影术 X线计算机 儿童 

分 类 号：R726.494[医药卫生—儿科]