CAJ | 학술논문

目的：对比分析多排CT在诊断小儿支气管炎内异物的诊断价值。方法对我院进行治疗的经纤支镜确诊为支气管异物的患儿76例，分别对其进行X线检查及16排螺旋CT检查，对比观察两种检查方式的诊断准确性。结果76例患儿左支气管、主支气管及右主支气管异物应用16排螺旋CT诊断符合率为100%，其中直接提示气管异物占88.1%，间接征象占11.9%；X线临床诊断符合率为85.5%，其中直接征象占18.4%，间接征象占81.6%。螺旋CT对左支气管、中段支气管、右主支气管异物及总的诊断符合率均明显高于X线诊断符合率，差异有统计学意义(P＜0.05)。结论多排CT对小儿支气管内异物具有较高的临床应用价值。
목적：대비분석다배CT재진단소인지기관염내이물적진단개치。방법대아원진행치료적경섬지경학진위지기관이물적환인76례，분별대기진행X선검사급16배라선CT검사，대비관찰량충검사방식적진단준학성。결과76례환인좌지기관、주지기관급우주지기관이물응용16배라선CT진단부합솔위100%，기중직접제시기관이물점88.1%，간접정상점11.9%；X선림상진단부합솔위85.5%，기중직접정상점18.4%，간접정상점81.6%。라선CT대좌지기관、중단지기관、우주지기관이물급총적진단부합솔균명현고우X선진단부합솔，차이유통계학의의(P＜0.05)。결론다배CT대소인지기관내이물구유교고적림상응용개치。
Objective Comparative analysis of the diagnosis value of multi slice CT in the diagnosis of foreign bodies in children with bronchiolitis.Methods 76 children who were confirmed by fiberbronchoscope in our hospital were chosen, X-ray examination and 16 slice spiral CT examination were performed respectively, diagnosis accuracy of two methods were compared.Results The accordance rate of 16 slice spiral CT in the diagnosis of middle left bronchus, bronchus and right main bronchus were 100%, The direct indication of tracheal foreign body accounted for 88.1%, The indirect signs accounted for 11.9%; Clinical X-ray diagnosis coincidence rate was 85.5%, The direct signs accounted for 18.4%, The indirect signs accounted for 81.6%.the diagnosis rates of spiral CT were obviously higher than the X-ray, The difference had statistically significant(P<0.05). Conclusion Multi slice CT has high value in the diagnosis of bronchial foreign bodies in children.