多层螺旋CT三维重建在诊断气管支气管异物中的应用

山东大学耳鼻喉眼学报

多层螺旋CT三维重建在诊断气管支气管异物中的应用

刘丽庭¹，刘丹¹，李慧²，仇沂洲¹

1. 潍坊市人民医院耳鼻咽喉科, 山东潍坊 261041； 2. 潍坊医学院，山东潍坊 261000

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-10-24 发布日期:2007-10-24
通讯作者: 刘丽庭

Clinical application of MSCT three-dimensional reconstruction in the diagnosis of tracheobronchial foreign bodies

LIU Li-ting¹， LIU Dan¹， LI Hui²， QIU Yi-zhou¹

1. Department of Otolaryngology, Weifang People′s Hospital, Weifang 261041;2. Weifang Medical College, Weifang 261000, Shandong, China

Received:1900-01-01 Revised:1900-01-01 Online:2007-10-24 Published:2007-10-24
Contact: LIU Li-ting

摘要/Abstract

摘要： 目的评价多层螺旋CT(multilayer spiral computed tomography，MSCT)三维重建对气管支气管异物诊断的价值。方法对30例怀疑为气管支气管异物的患者，实施肺螺旋CT平扫及三维重建,与硬性支气管镜下手术情况对比，分析各种重建方法对支气管异物的显示情况及诊断价值。结果 30例患者均获清晰图像，23例异物部位与术中所见一致,出现位移1例,假阴性1例，异物咳出后检查3例, 左主支气管狭窄1例，吸入性肺炎1例，均未见异物。各种重建方法均可清楚显示气管、支气管异物的位置、形状、大小及异物所致气管、支气管狭窄的部位、程度和外形改变。结论螺旋CT及图像后处理技术在气管支气管异物诊断中具有重要的临床应用价值。

关键词: 气管, 支气管, 异物, 体层摄影术, 三维重建, 图像后处理

Abstract: Objective To investigate the value of the CT 3D in the diagnosis of tracheobronchial foreign bodies. Methods 30 patients suspected of having tracheobronchial foreign bodies were subjected to HRCT scanning and 3D reconstruction. Images by HRCT and those under the stiff bronchoscope were compared to analyze the value of reconstruction. Results All 30 patients gained clear images. Foreign bodies were found at the same position shown by CT and operations in 23 patients, while they were moved in one, and they were negative in 3 patients examined by CT. One showed false negative images. Stiff bronchoscopy proved that one had a left bronchiostenosis and the other had inhalant bronchitis. Conclusions MSCT and imaging retro-processing techniques are valuable in judging tracheobronchial foreign bodies.

Key words: Trachea, Bronchi, Foreign bodies, Tomography, X-ray, computed, Three-dimensional reconstruction

中图分类号:

R768.1

刘丽庭,刘丹,李慧,仇沂洲 . 多层螺旋CT三维重建在诊断气管支气管异物中的应用[J]. 山东大学耳鼻喉眼学报, 2007, 21(5): 459-461 .

LIU Li-ting,LIU Dan,LI Hui,QIU Yi-zhou . Clinical application of MSCT three-dimensional reconstruction in the diagnosis of tracheobronchial foreign bodies[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(5): 459-461 .

参考文献

相关文章 15

[1]	郭荣昌,刘晴航,王洪增,孙树军. 巨大鼻眼贯通、颅底嵌顿异物损伤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 135-141.
[2]	王华,张丰珍,龙婷,赵靖,李宏彬,王生才,王桂香. 后颅窝肿瘤术后儿童气管切开原因及预后转归分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 168-173.
[3]	李辉,赵永强,贺祯,杨惠敏,赵叶,田秀娟,陈剑秋. 下颌提拉平卧位下床旁老年患者经皮扩张气管切开的安全性探讨[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 87-93.
[4]	黄娇,彭昌福. 甲状腺相关性眼病活动性客观评价的研究进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 171-178.
[5]	董绪德,王乔蓓,王莹,马兴旺,李传刚. 应用经鼻湿化快速充气交换通气技术行全麻纤支镜诊疗32例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 115-120.
[6]	汪洋,胡越,李晓明,齐雯雯,张杰,张皓,王倩倩,许风雷,贾涛,夏明. 3D打印钛金属假体修复大面积气管缺损1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 121-125.
[7]	郭思睿,莫亚. CT检查联合计算机三维重建指导泪道手术研究进展[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 175-182.
[8]	宋攀攀,赵玉凤,张瑶瑶,丁德涛,张加夫,张辉,张瑾,吴允刚. 牙源性颈深部多间隙及纵隔脓肿2例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 93-96.
[9]	张静,朱国臣. 粪肠球菌致甲状软骨破坏的喉脓肿1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(5): 80-84.
[10]	李少华,彭宏彬,卢标清,徐庆文. 气管源性囊肿破坏甲状软骨侵入气道1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(5): 96-98.
[11]	岳涛,庄大勇,周鹏,李小磊,徐婧,朱见,贺青卿. 达芬奇机器人甲状腺手术中气管损伤并发症4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 46-50.
[12]	佘志强,刘继远. 不典型喉旁间隙异物1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 60-63.
[13]	张瑾,张辉,丁德涛,张永红,李笑颖,索安奇,李晓瑜,吴允刚. 颈深部鱼刺异物3例诊治体会及文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 56-58.
[14]	潘中静,吕丹. 闭合性喉外伤的诊治进展[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 124-131.
[15]	黄桂亮,孙昌志,罗仁忠,谢志伟,童志杰,刘少锋. 硬性支气管镜联合纤维支气管镜在治疗小儿肺段支气管异物的应用[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 91-95.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed