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食管吞钡造影及造影后CT平扫在诊断梨状窝瘘中的价值探讨
引用本文:吴伟军,韩燕乔,龚振华.食管吞钡造影及造影后CT平扫在诊断梨状窝瘘中的价值探讨[J].华西医学,2009(12).
作者姓名:吴伟军  韩燕乔  龚振华
作者单位:上海交通大学附属儿童医院放射科 上海交通大学附属儿童医院外科
摘    要:目的:通过食管吞钡造影及造影后CT平扫检查提高梨状窝瘘的诊断率。方法:平卧位左、右、前、后斜位和头低足高位食管吞钡后透视观察有无钡剂外漏后,行CT平扫检查。扫描范围上起口咽部,下至胸骨上窝,层距厚3 mm。扫描后图像作多层面重建处理。结果:透视下见到瘘管3例,另3例经CT多层面重建隐约见到瘘管,但14例均可见漏出的钡剂滞留影,可判断瘘管的存在。结论:食管吞钡造影及造影后CT平扫可提高对梨状窝瘘诊断的敏感性和诊断率。

关 键 词:梨状窝瘘  食管吞钡造影  CT

On the Value of Esphagogram and CT Scan after Esphagogram in Diagnostic of Pyriform Sinus Fistula
WU Wei-jun; HAN Yan-qiao; GONG Zhen-hua.On the Value of Esphagogram and CT Scan after Esphagogram in Diagnostic of Pyriform Sinus Fistula[J].West China Medical Journal,2009(12).
Authors:WU Wei-jun; HAN Yan-qiao; GONG Zhen-hua
Institution:WU Wei-jun; HAN Yan-qiao; GONG Zhen-hua.Children′s Hospital of Shanghai Jiaotong University; Shanghai 200040; China;
Abstract:Objective: To improve the diagnosis rate of the pyriform sinus fistula by means of esphagogram and CT scan after esphagogram.Methods:To observe whether there is the leakage of barium by X-ray check after barium swallowed in the five positions of body,followed by CT scan.The scanning ranges from oropharyngeal to Waterloo on sternum.The thickness is 3mm.The image is dealt with multi-dimensional reconstruction after the scan.Results:Among fourteen cases,the fistula can be seen in three,and be indistinctly seen...
Keywords:pyriform sinus fistula  esphagogram  CT scan
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