CAJ | 학술논문

目的：探讨320排CT及其后处理图像对食管闭锁合并气管-食管瘘（CEA-TEF）的诊断价值。方法：对怀疑CEA-TEF的9例患儿行320排动态容积 CT 扫描并进行图像后处理，重组方法包括多平面重组（MPR）、曲面重组（CPR）、最小密度投影（MinIP）、容积再现（VR）和仿真内窥镜（VE），由一位有经验的影像操作技师和一位诊断医师同时观察图像并根据疾病诊断需要进行图像后处理及相关测量。结果：9例中CEA-TEF Ⅲ型8例（Ⅲa 型7例，Ⅲ型b1例），Ⅰ型1例。伴有心血管发育畸形及肛门闭锁各1例。结论：320排动态容积CT及其后处理图像可以准确、无创的对EA-TEF进行诊断、分型，对寻找瘘口位置、评价肺部情况及观察有无伴随畸形均有重要作用。
목적：탐토320배CT급기후처리도상대식관폐쇄합병기관-식관루（CEA-TEF）적진단개치。방법：대부의CEA-TEF적9례환인행320배동태용적 CT 소묘병진행도상후처리，중조방법포괄다평면중조（MPR）、곡면중조（CPR）、최소밀도투영（MinIP）、용적재현（VR）화방진내규경（VE），유일위유경험적영상조작기사화일위진단의사동시관찰도상병근거질병진단수요진행도상후처리급상관측량。결과：9례중CEA-TEF Ⅲ형8례（Ⅲa 형7례，Ⅲ형b1례），Ⅰ형1례。반유심혈관발육기형급항문폐쇄각1례。결론：320배동태용적CT급기후처리도상가이준학、무창적대EA-TEF진행진단、분형，대심조루구위치、평개폐부정황급관찰유무반수기형균유중요작용。
Objective:To explore the value of 320 row CT and the post-processing images in the diagnosis of esopha-geal atresia combind with tracheal-esophageal fistula (CEA-TEF).Methods:Nine suspectd cases of CEA-TEF underwent 320 row CT scanning.Post-processing methods included MPR,CPR,MinIP,VR and VE.An experienced technician and a diagnosis physician were responsible for analyzing the images,and according to the need of the diagnosis,making the image post-processing and related measurements.Results:In the 9 children,there was CEA-TEF Type Ⅲin 8 cases and Type Ⅰin one case.There was cardiovascular malformations in one of them and imperforate anus in another.Conclusion:320 row CT imaging and post processing images can be accurate and non-invasive methods for the diagnosis of CEA-TEF,as well as its classification,fistula location,evaluation of the lung,and whether with other abnormalities.