蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
8期
1100-1103
,共4页
气管异物%X线%断层摄影术%X线计算机
氣管異物%X線%斷層攝影術%X線計算機
기관이물%X선%단층섭영술%X선계산궤
foreign body in trachea%X-ray%tomography,X-ray computed
目的：探讨胸透、胸片及高分辨CT在不典型气管支气管异物诊断中的价值。方法：对45例经纤维支气管内镜诊治的不典型气管支气管异物的胸透、胸片及高分辨CT检查的结果进行对比。结果：45例经纤维支气管内镜验证：胸透阳性率52.94%，假阳性率17.65%，假阴性率11.76%，不确诊17.65%；胸片阳性率53.85%，假阳性率15.38%，假阴性率15.38%，不确诊15.38%；高分辨CT阳性率100.00%，假阳性和假阴性均为0。胸透与胸片对不典型气管支气管异物诊断阳性率差异无统计学意义(P>0.05)，但高分辨CT及重建的诊断阳性率均高于胸透和胸片阳性率(P<0.05)。结论：胸部透视、胸片简单、经济，但对不典型气管支气管异物的诊断敏感性不高。高分辨CT对不典型气管支气管异物的诊断具有非常重要的价值，并对临床具有指导意义，是不典型气管支气管异物无创检查的可靠方法。
目的：探討胸透、胸片及高分辨CT在不典型氣管支氣管異物診斷中的價值。方法：對45例經纖維支氣管內鏡診治的不典型氣管支氣管異物的胸透、胸片及高分辨CT檢查的結果進行對比。結果：45例經纖維支氣管內鏡驗證：胸透暘性率52.94%，假暘性率17.65%，假陰性率11.76%，不確診17.65%；胸片暘性率53.85%，假暘性率15.38%，假陰性率15.38%，不確診15.38%；高分辨CT暘性率100.00%，假暘性和假陰性均為0。胸透與胸片對不典型氣管支氣管異物診斷暘性率差異無統計學意義(P>0.05)，但高分辨CT及重建的診斷暘性率均高于胸透和胸片暘性率(P<0.05)。結論：胸部透視、胸片簡單、經濟，但對不典型氣管支氣管異物的診斷敏感性不高。高分辨CT對不典型氣管支氣管異物的診斷具有非常重要的價值，併對臨床具有指導意義，是不典型氣管支氣管異物無創檢查的可靠方法。
목적：탐토흉투、흉편급고분변CT재불전형기관지기관이물진단중적개치。방법：대45례경섬유지기관내경진치적불전형기관지기관이물적흉투、흉편급고분변CT검사적결과진행대비。결과：45례경섬유지기관내경험증：흉투양성솔52.94%，가양성솔17.65%，가음성솔11.76%，불학진17.65%；흉편양성솔53.85%，가양성솔15.38%，가음성솔15.38%，불학진15.38%；고분변CT양성솔100.00%，가양성화가음성균위0。흉투여흉편대불전형기관지기관이물진단양성솔차이무통계학의의(P>0.05)，단고분변CT급중건적진단양성솔균고우흉투화흉편양성솔(P<0.05)。결론：흉부투시、흉편간단、경제，단대불전형기관지기관이물적진단민감성불고。고분변CT대불전형기관지기관이물적진단구유비상중요적개치，병대림상구유지도의의，시불전형기관지기관이물무창검사적가고방법。
Objective:To investigate the clinical value of chest fluoroscopy, chest radiography and high-resolution computed tomography( CT) in the diagnosis of atypical foreign body in trachea and bronchus. Methods:The data of chest fluoroscopy, chest radiography and high-resolution CT in 45 cases with atypical foreign body in trachea and bronchus diagnosed by fiberbronchoscopy were analyzed and compared. Results:The positive rate,false positive rate,false negative rate and misdiagnosis rate of chest fluoroscopy were 52. 94%,17. 65%,11. 76% and 17. 65%,respectively. The positive rate,false positive rate,false negative rate and misdiagnosis rate of chest radiography were 53. 85%,15. 38%,15. 38% and 15. 38%,respectively. The positive rate of CT was 100. 00%,its false positive and negative rates were 0. 00% and 0. 00%,respectively. The difference of the positive rate in diagnosing the atypical foreign body in trachea and bronchus between chest fluoroscopy and chest radiography was not statistically significant(P>0. 05),but the diagnosic positive rate of high-resolation CT and reconstruction were higer than the fluoroscopy and radiography(P<0. 05). Conclusions:The sensibilities of chest fluoroscopy and radiography in diagnosing the atypical foreign body in trachea and bronchus are low, but CT detection is high. The CT detection is a reliable and noninvasive method for demonstrating the typical foreign body in trachea and bronchus.
