CAJ | 학술논문

目的：探讨螺旋 ct 三维重建技术在儿童气道阴性异物诊断中的应用。方法对2014年2月至2014年8月于我院收治的34例疑为气道阴性异物的患者进行螺旋 ct 扫描及三维重建，并与气管镜结果对比。结果34例患者均获得清晰的图像，其中27例患儿经螺旋 ct 三维重建诊断为气道异物，25例与支气管镜检查结果一致，假阴性患者2例，支气管镜检查为痰痂块，吸除后未见异物，螺旋 ct 三维重建与气管镜结果符合率为92.6%。7例患者经螺旋 ct 三维重建显示无异物，经抗炎治疗好转后出院。结论螺旋 ct 三维重建技术可准确评价气道异物，是无创、快速的诊断方法，在诊断气道阴性异物中具有重要的应用价值。
목적：탐토라선 ct 삼유중건기술재인동기도음성이물진단중적응용。방법대2014년2월지2014년8월우아원수치적34례의위기도음성이물적환자진행라선 ct 소묘급삼유중건，병여기관경결과대비。결과34례환자균획득청석적도상，기중27례환인경라선 ct 삼유중건진단위기도이물，25례여지기관경검사결과일치，가음성환자2례，지기관경검사위담가괴，흡제후미견이물，라선 ct 삼유중건여기관경결과부합솔위92.6%。7례환자경라선 ct 삼유중건현시무이물，경항염치료호전후출원。결론라선 ct 삼유중건기술가준학평개기도이물，시무창、쾌속적진단방법，재진단기도음성이물중구유중요적응용개치。
objective: to investigate the Value of three-dimensional reconstruction technigues with spiral ct in detection of tracheobronchial foreign bodies in children.Methods from february 2014 to august 2014 in our hospital, 34 children cases of tracheobronchial foreign bodies were referred to spiral ct scanning and three-dimensional reconstruction,and compared the results with the bronchoscope.Results 34 patients were gained clear images.27 foreign bodies were found by spiral ct .25 foreign bodies were found at the same place by spiral ct and bronchoscopy.2 cases shown false-negative image by spiral ct,and it turns to be sputum block,after removed by suction no foreign body was found by spiral ct , spiral ct and bronchoscopy results meet the rate of 92.6%.7 cases were shown no foreign bodies by spiral CT, after anti-inflammatory treatment 7 cases both discharged.Conclusion spiral ct reconstruction techniques is a non-invasive, accurate, rapid diagnostic method to evaluate the airway foreign body, so it is valuable to judge tracheobronchial foreign bodies in children.