摘要
目的探究多层螺旋CT对儿童支气管桥的诊断价值。方法回顾性分析10例先天性支气管桥患者的临床资料,所有病例均行多层螺旋CT(MSCT)扫描,利用CT工作站后处理技术最小密度投影(MIP)、多平面重建(MPR)、容积再现(VR)等显示气管支气管树,观察并记录气道异常的部位及伴随异常,采用χ^(2)检验比较MSCT重建图像与常规横轴位图像对支气管桥显示的差异。结果 MSCT重建图像10例支气管桥均清晰显示,常规横轴位图像显示8例,两者间差异无统计学意义(P>0.05)。根据Wells法Ⅰ型7例,Ⅱ型3例,10例均合并先天性心脏疾病,其中7例合并左肺动脉吊带,6例伴左主支气管狭窄,2例伴桥支气管狭窄,2例未见明显气道狭窄。结论 MSCT是诊断儿童支气管桥的首选检查方法,可以作为诊断该病的"金标准"。
Objective To investigate the diagnostic value of MSCT in children bridging bronchus.Methods By retrospective analysis of 10 cases of congenital BB in our hospital diagnosis with complete data,all cases were scanned on multislice CT scanning and minimum intensity projection,multiplanar reconstruction,volume-rendered image acquired on workstation showed the trachea bronchial tree,the part of the airway anomaly and accompanying abnormity were observed and recorded.Comparisons the difference of the appearance of BB between the reconstructed MSCT image and the conventional transverse axis image using Chi-square test.Results The reconstructed MSCT images showed clear BB in all 10 cases,while the conventional horizontal axis images showed BB in 8 cases,however,there was no statistically significant difference between the two(P>0.05).Seven cases of typeⅠand 3 cases of typeⅡaccording to the Wells method.All the 10 cases were associated with congenital heart disease,among which 7 cases were associated with left pulmonary artery sling,6 were associated with left bronchus stenosis,2 were associated with bridge bronchus stenosis,and 2 had no significant airway stenosis.Conclusion MSCT is the first choice in the diagnosis of BB in children,and can be used as the gold standard in the diagnosis of this disease.
作者
郑玉丽
杨馨艳
杜昕
吴准
王文刚
ZHENG Yuli;YANG Xinyan;DU Xin;WU Zhun;WANG Wengang(Department of Radiology,Weifang People's Hospital,Weifang 261041,China;Department of Service after Blood Donation,Weifang Blood Centre)
出处
《潍坊医学院学报》
2020年第6期432-434,共3页
Acta Academiae Medicinae Weifang
作者简介
郑玉丽(1989年~),女,医师,硕士学位。主要研究方向:胸腹部影像诊断;通讯作者:王文刚,E-mail:wwg1973@126.com。
