本文關(guān)鍵詞： 支氣管肺前腸畸形 X線 內(nèi)鏡 消化道 體層攝影術(shù) X線計(jì)算機(jī)　出處：《中國(guó)醫(yī)學(xué)影像技術(shù)》2015年02期 　論文類型：期刊論文

【摘要】：目的分析兒童交通性支氣管肺前腸畸形(CBPFM)的影像學(xué)特征。方法回顧性分析5例CBPFM患兒的臨床及影像學(xué)資料�；純壕邮躕線、消化道造影(GI)及CT檢查,其中2例接受CT增強(qiáng)掃描。結(jié)果所有患者均發(fā)生在右肺,其中右肺發(fā)育不良2例,肺葉內(nèi)型隔離肺2例,右肺上葉支氣管閉鎖1例。5例均合并食管-氣管瘺,瘺口位于T6水平1例,T8、T9水平各2例。X線表現(xiàn)為白肺2例,軟組織腫塊影2例,肺炎1例。GI可清晰顯示瘺口位置、大小及走向。CT檢查可顯示CBPFM的各種表現(xiàn)及其合并畸形。結(jié)論 CBPFM應(yīng)包含一種或多種氣道、肺組織及血管的異常,且合并食管-氣管瘺。GI可直接、清晰顯示食管-氣管瘺。CT檢查可顯示肺、氣道和血管及前腸發(fā)育異常情況。CT和GI相結(jié)合是診斷本病的最佳檢查方法。
[Abstract]:Objective to analyze the imaging features of children with communicating bronchopulmonary foregut malformation (CBPFM). Methods the clinical and imaging data of 5 children with CBPFM were analyzed retrospectively. Gi) and CT were performed in 2 cases. Results all the patients were in the right lung, including 2 cases of dysplasia of the right lung and 2 cases of isolated lung with intralobar type. The right superior lobar bronchus atresia in 1 case was accompanied with esophagotracheal fistula. The fistula was located at T6 level in 1 case and T8 T9 level in 2 cases. X-ray findings showed white lung in 2 cases and soft tissue mass in 2 cases. The location, size and direction of fistula in 1 case with pneumonia could be clearly demonstrated by CT. Ct examination could show various manifestations of CBPFM and its associated malformation. Conclusion CBPFM should contain one or more airways. The pulmonary tissue and blood vessel were abnormal, and the esophagotracheal fistula. GI could be directly displayed. The esophagotracheal fistula could be clearly displayed by CT. The combination of CT and GI is the best diagnostic method for this disease.
【作者單位】： 廣州市婦女兒童醫(yī)療中心影像中心;
【分類號(hào)】：R816.92;R725
【正文快照】： 表1 5例CBPFM的影像表現(xiàn)病例性別年齡(月)病變位置氣管-食管瘺位置CBPFM合并畸形1女1.0右肺T8右肺發(fā)育不良、馬蹄肺、氣管狹窄、橋支氣管先天性心臟病、脊椎畸形2女0.4右肺T9右肺發(fā)育不良、氣管狹窄先天性心臟病3女42.0右肺下葉T9肺葉內(nèi)型隔離肺未見(jiàn)4女14.0右肺上葉T6右肺上葉

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本文編號(hào)：1448019