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气管、支气管异物的多层CT诊断价值及限度
引用本文:胡晓峰,吕维富,邓克学,孙一兵.气管、支气管异物的多层CT诊断价值及限度[J].医学影像学杂志,2011,21(4):544-547.
作者姓名:胡晓峰  吕维富  邓克学  孙一兵
作者单位:安徽医科大学附属省立医院放射科,安徽合肥
摘    要:目的:探讨多层CT在气管、支气管异物诊断中的价值。方法:搜集临床怀疑气管、支气管异物135例。所有病例行多层CT检查,原始图像重建采用多平面重组(MPR)、曲面多平面重组(CMPR)、最小密度投影(MinIP),135患者均进行支气管镜检查。结果:135例患者,129例检查结果为阳性,阳性率(129/135)95.6%,CT直接发现异物120例,占(120/135)88.9%,9例患者通过间接征象判断异物存在,6例患者假阴性。135例患者均经纤维支气管镜检查证实,发现误吸异物131例,4例为支气管内浓痰;另外CT辐射量远大于胸片。结论:多层CT是一种很有价值的诊断气管、支气管异物的检查方法,但亦有其限度,我们应该积极审慎应用多层CT。

关 键 词:气管  支气管异物  体层摄影术  X线计算机

The value and limit of multislice CT in the diagnosis of tracheobronchial foreign body
HU Xiao-feng,LV Wei-fu,DENG Ke-xue,SUN Yi-bing.The value and limit of multislice CT in the diagnosis of tracheobronchial foreign body[J].Journal of Medical Imaging,2011,21(4):544-547.
Authors:HU Xiao-feng  LV Wei-fu  DENG Ke-xue  SUN Yi-bing
Institution:HU Xiao-feng,LV Wei-fu,DENG Ke-xue,SUN Yi-bing Department of Radiology,Affiliated Anhui Provincial Hospital of Anhui Medical University,Hefei 230001,P.R.China
Abstract:Objective:To evaluate the clinical application of multi-slice CT(MSCT) in the diagnosis of foreign body of trachea or bronchus.Methods:135 cases with foreign body in trachea or bronchus proved by clinic history and bronchoscopic forceps were collected in the study and all cases were examined with MSCT.The post-processing reconstruction included multiple planar reconstruction(MPR),curve multiple planar reconstruction(CMPR),minimum intensity projection(MinIP).Results:The foreign body was showed directly in 12...
Keywords:Foreign body in trachea and bronchi  Tomography  X-ray computed  Foreign body  
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