CAJ | 학술논문

目的：研究64排CT三维重建在新生儿型食道闭锁诊断和术前评估中的应用价值。方法回顾性分析56例先天性食道闭锁患儿的64排CT影像学资料，并与食道造影及手术结果进行对照研究。结果56例患儿均行食道造影及64排CT三维重建，其中35例食道闭锁型患儿接受手术治疗。64排CT食道重建及食道造影在先天性食道闭锁的诊断符合率相近，并能准确显示瘘口位置。35例患儿64排CT三维重建与手术所见食管两盲端距离吻合。结论64排CT三维重建在显示和评价型闭锁食管两盲端距离和瘘口位置是可靠的，可为新生儿型食道闭锁术前估计与制定合适的手术方案提供更加可靠的影像学依据。
목적：연구64배CT삼유중건재신생인형식도폐쇄진단화술전평고중적응용개치。방법회고성분석56례선천성식도폐쇄환인적64배CT영상학자료，병여식도조영급수술결과진행대조연구。결과56례환인균행식도조영급64배CT삼유중건，기중35례식도폐쇄형환인접수수술치료。64배CT식도중건급식도조영재선천성식도폐쇄적진단부합솔상근，병능준학현시루구위치。35례환인64배CT삼유중건여수술소견식관량맹단거리문합。결론64배CT삼유중건재현시화평개형폐쇄식관량맹단거리화루구위치시가고적，가위신생인형식도폐쇄술전고계여제정합괄적수술방안제공경가가고적영상학의거。
Objective To study the clinical value of 3-dimensional (3D) reconstruction based on 64-slice spiral CT scanning data in diagnosis and preoperative evaluation of neonatal type  congenital esophageal atresia (CEA). Methods The 64-slice spiral CT data of 56 cases with CEA were analyzed retrospectively and correlated to the findings of esophagography and surgery.Results 56 cases were examined by 64-slice spiral CT and esophagography, and 35 cases of type  CEA undergo operation therapy.The rate of coincidence of diagnostic between 64-slice spiral CT and esophagography was getting very close, and 64-slice spiral CT can clearly reveal the orifice of fistula. Among 35 cases,the distance between the two esophageal extremes of 64-slice spiral CT scanning were coincided with operative findings.Conclusions 64 slice spiral CT 3-D reconstruction is a reliable technique for showing and assessing the distance between the two esophageal pouches,and position of fistula in CEA,and can afford the reliable evidence in the preoperative assessment of neonatal type  CEA and accurate establishment of surgical plan.