| 下咽及食管异物多排螺旋计算机断层摄影诊断 |
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| 引用本文： | 张竹花,李烁,苏佰燕,孙昊,孔令燕,王怡宁,薛华丹,祝小莉,高志强,金征宇. 下咽及食管异物多排螺旋计算机断层摄影诊断[J]. 协和医学杂志, 2011, 2(3): 217-221. DOI: 10.3969/j.issn.1674-9081.2011.03.006 |
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| 作者姓名： | 张竹花 李烁 苏佰燕 孙昊 孔令燕 王怡宁 薛华丹 祝小莉 高志强 金征宇 |
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| 作者单位： | 1.中国医学科学院 北京协和医学院 北京协和医院 放射科, 北京 100730 |
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| 摘 要： | 目的 探讨下咽及食管异物多排螺旋计算机断层摄影(multi-slice spiral computed tomography, MSCT)影像征像及诊断要点。 方法 回顾性分析25例经临床证实的急诊下咽及食管异物患者的临床及MSCT图像资料, 观察MSCT图像上食管异物的位置、形态, 测量异物的最长径以及异物中心距离环状软骨下缘的距离, 并观察食管边缘清晰程度、与邻近解剖结构的关系以及有无气肿并发症。 结果 MSCT能清晰显示所有患者下咽或食管异物的位置、大小以及与周围解剖结构的关系。25例患者异物位置以食管上段及食管下咽交界处为主。食管异物平均长度为(20.4±7.4)mm(5.4~42.0 mm), 异物中心距离环状软骨下缘平均约(13.1±17.0)mm(-5.0~30.0 mm)。 结论 MSCT可从异物位置、大小、与周围解剖结构关系及有无其他并发症多个方面为临床异物取出提供清晰的影像信息。
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| 关 键 词： | 下咽 食管 异物 断层摄影术，X线计算机 |
| 收稿时间： | 2011-05-11 |
Diagnosis of Hypopharyngeal and Esophageal Foreign Bodies with Multi-slice Spiral Computed Tomography |
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| ZHANG Zhu-hua,LI Shuo,SU Bai-yan,SUN Hao,KONG Ling-yan,WANG Yi-ning,XUE Hua-dan,ZHU Xiao-li,GAO Zhi-qiang,JIN Zheng-yu. Diagnosis of Hypopharyngeal and Esophageal Foreign Bodies with Multi-slice Spiral Computed Tomography[J]. Medical Journal of Peking Union Medical College Hospit, 2011, 2(3): 217-221. DOI: 10.3969/j.issn.1674-9081.2011.03.006 |
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| Authors: | ZHANG Zhu-hua LI Shuo SU Bai-yan SUN Hao KONG Ling-yan WANG Yi-ning XUE Hua-dan ZHU Xiao-li GAO Zhi-qiang JIN Zheng-yu |
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| Affiliation: | 1.Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China2.Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China |
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| Abstract: | Objective To explore the radiological findings and diagnostic points of hypopharyngeal and esophageal foreign bodies with multi-slice spiral computed tomography (MSCT). Methods The medical records and CT images of 25 emergency patients with clinically confirmed hypopharyngeal and esophageal foreign bodies were retrospectively analyzed. The location and morphology of the foreign bodies on multi-slice spiral CT images were observed. The longitudinal diameter of the foreign body and the distance from the cente... |
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| Keywords: | hypopharynx esophagus foreign body tomography X-ray computed |
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