多层螺旋CT三维重建对疑似支气管异物的诊断价值

Evaluation of MSCT threedimensional reconstruction in diagnosis of tracheobronchial foreign body

摘要:

目的:评价多层螺旋CT（MSCT）三维重建在小儿气管支气管异物鉴别诊断中的应用价值。方法:回顾性分析24例疑似气管支气管异物患者行多层螺旋CT及三维重建技术进行诊断，评价多层螺旋CT及三维重建技术对气管支气管异物的显示情况及诊断价值。结果:19例螺旋CT诊断为支气管异物者经支气管镜检确诊并取出异物；另5例疑似气管支气管异物患者经CT扫描未发现异物，经保守治疗痊愈。结论:螺旋CT及图像后处理技术可提高小儿气管支气管异物的诊断准确性，减少误诊。

Abstract:

OBJECTIVE:To evaluate the value of multislice CT (MSCT) threedimensional reconstruction in the differential diagnosis of pediatric tracheobronchial foreign body. METHODS:Twentyfour cases suspected of tracheobronchial foreign bodies were enrolled for retrospective analysis to evaluate the diagnostic value of MSCT and threedimensional reconstruction. RESULTS:Ninteen patients were diagnosed having tracheobronchial foreign bodies with MSCT threedimensional reconstruction and confirmed by bronchoscopy. The foreign bodies were removed successfully. The other five cases without positive findings in MSCT were cured with nonsurgical therapy. CONCLUSION:MSCT threedimensional reconstruction can improve the accuracy of diagnosis of tracheobronchial foreign body in children.