本文選題：呼吸道異物　切入點(diǎn)：排螺旋CT三維成像　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年19期 　論文類(lèi)型：期刊論文

【摘要】：目的:探討64排螺旋CT三維成像(MDCT)及后處理技術(shù)在兒童可疑呼吸道異物中的臨床應(yīng)用價(jià)值。方法:對(duì)200例可疑呼吸道異物患兒行MDCT及仿真內(nèi)鏡成像,并與支氣管鏡術(shù)中所見(jiàn)對(duì)比,比較MDCT及后處理的結(jié)果和術(shù)中所見(jiàn)情況符合度。結(jié)果:經(jīng)MDCT后處理技術(shù)檢出184例陽(yáng)性患兒經(jīng)支氣管鏡檢查,結(jié)果179例為外源性異物,5例為痰栓(內(nèi)源性異物)阻塞。經(jīng)MDCT后處理技術(shù)診斷為無(wú)異物的16例患兒,經(jīng)支氣管鏡檢查,1例有異物,其異物位于聲門(mén)裂(西瓜子殼),其余15例亦無(wú)異物;MDCT及后處理技術(shù)對(duì)兒童呼吸道異物診斷的靈敏性99.4%,特異性75%。經(jīng)統(tǒng)計(jì)學(xué)分析處理,MDCT及后處理技術(shù)與支氣管鏡檢查術(shù)對(duì)異物的檢出率差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:雖然MDCT及后處理技術(shù)不能用于治療支氣管異物,但在支氣管異物的診斷上與支氣管鏡相當(dāng)。對(duì)于異物吸入史不明確、疑似氣道異物時(shí)間長(zhǎng)的患兒可在支氣管鏡檢查之前行MDCT檢查并做后處理,可指導(dǎo)支氣管鏡檢查術(shù)中操作的關(guān)注點(diǎn),提高診療水平。
[Abstract]:Objective: to evaluate the clinical value of 64-slice spiral CT 3D imaging and post-processing in children with suspicious respiratory foreign bodies. Methods: 200 children with suspected respiratory foreign bodies were treated with MDCT and virtual endoscopy. The results of MDCT and post treatment were compared with those of bronchoscopy. Results: 184 cases of positive children were detected by MDCT. Results there were 5 cases of phlegm embolism (endogenous foreign body) obstruction in 179 cases of foreign body, 16 cases were diagnosed as no foreign body by MDCT postprocessing technique, and 1 case had foreign body by bronchoscopy. The foreign body was located in the glottic fissure (Puca sunflower), and the other 15 cases had no foreign body MDCT and post-processing technique. The sensitivity and specificity of the foreign body in the diagnosis of respiratory foreign body in children were 99.4 and 75.After statistical analysis, the MDCT and post-processing technique and bronchoscopy were analyzed. Conclusion: although MDCT and post-processing techniques can not be used to treat foreign bodies in bronchus, there is no significant difference in the detection rate of foreign bodies. However, the diagnosis of foreign bodies in the bronchoscope is similar to that of bronchoscopy. For children with long suspected airway foreign bodies, the history of foreign bodies inhalation is not clear, and children with suspected foreign bodies of long time may undergo MDCT examination before bronchoscopy and do post-treatment. It can guide the operation of bronchoscopy and improve the level of diagnosis and treatment.
【作者單位】： 安徽醫(yī)科大學(xué)第一附屬醫(yī)院耳鼻咽喉頭頸外科;安徽省兒童醫(yī)院耳鼻咽喉科;
【分類(lèi)號(hào)】：R768.13
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本文編號(hào)：1574178