X线胸片与透视结合在诊断儿童支气管异物中的价值

目的探讨X线胸片与透视相结合的方法在儿童支气管异物患者中的诊断价值。方法对支气管镜证实的53例支气管异物患儿的胸片及X线透视表现进行回顾性分析。结果 53例患儿中50例有纵隔摆动征象,42例有一侧肺野透亮度增高,40例膈肌活动度减弱。X线诊断与支气管镜检查符合率为94.3%。结论 X线胸片与透视相结合的方法可以取长补短、互相补充,既可静态观察胸部的X线表现,又可动态观察纵隔摆动情况及膈肌活动度如何,两者相结合是诊断支气管异物的首选方法。

Value of chest radiography and chest fluoroscopy in the diagnosis of bronchial foreign body in children

Objective To investigate the application value of chest radiography and chest fluoroscopy in the diagnosis of bronchial foreign body in children.Methods The image of chest radiography and chest fluoroscopy in 53 children with bronchial foreign body diagnosed by bronchoscopy were restropective analyzed.Results Mediastinal pendular movement was observed in 50 cases,definitive emphysema in one side was observed in 42 cases and decreased diaphragm activity was observed in 40 cases.The diagnose accordance rate was 94.3% in chest radiography and chest fluoroscopy.Conclusion The diagnosis of bronchial foreign body in children with chest radiography and chest fluoroscopy can be complementary.It can not only offer the image of chest radiography in satatic state,but also show the trends of mediastinal pendular movement and diaphragm activity.It’s the optimum method in the diagnosis of bronchial foreign body with these two inspection methods.