CAJ | 학술논문

目的以支气管镜检查结果为标准,比较高分辨率CT在诊断气道软化方面的效能.方法收集2009年1月至2013年1月中山市陈星海医院门诊和住院患者100例(其中男性61例,女性39例,年龄42～78岁,平均年龄57.2岁),通过进行高分辨率CT扫描后气道三维重建成像及支气管镜检查,以呼气时成像后狭窄部位气管横截面积≤50％狭窄部位前后平均气管横截面积为判断标准,并以支气管镜检查结果为最终诊断.结果 46例经支气管镜诊断的气道软化患者(其中男性31例,女性15例)中,高分辨率CT三维重建共诊断出41例.结论高分辨率CT作为一种无创检查方法,可有效诊断出气道软化.
목적 이지기관경검사결과위표준,비교고분변솔CT재진단기도연화방면적효능.방법 수집2009년1월지2013년1월중산시진성해의원문진화주원환자100례(기중남성61례,녀성39례,년령42～78세,평균년령57.2세),통과진행고분변솔CT소묘후기도삼유중건성상급지기관경검사,이호기시성상후협착부위기관횡절면적≤50％협착부위전후평균기관횡절면적위판단표준,병이지기관경검사결과위최종진단.결과 46례경지기관경진단적기도연화환자(기중남성31례,녀성15례)중,고분변솔CT삼유중건공진단출41례.결론 고분변솔CT작위일충무창검사방법,가유효진단출기도연화.
Objective To evaluate the performance of high resolution CT (HRCT) in the diagnose of airway malacia based on the bronchoscopy result.Methods The in-patients and out-patients of Zhongshan Chen-Xinghai Hospital from January 2009 to January 2003 were collected,including 61 males and 39 females aged 42-78 years old,with an average age of 57.2 years old.The patients' airway was examined with HRCT,followed by 3D reconstruction and tracheoscopy,to see if the cross-sectional area at the stenotic site of the airway was 50％ smaller than the average cross-sectional area (not counting the stenotic site),and make final diagnoses based on the bronchoscopy result.Results Among 46 tracheomalacia patients (31 males and 15 females) who were diagnosed by bronchoscopy,41 cases were successfully diagnosed by HRCT 3D reconstruction.Conclusions As a noninvasive examination,HRCT can effectively diagnose airway malacia.