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MSCT及支气管镜在气管性支气管变异中的诊断价值
引用本文:王吉,杨馨艳,郑玉丽,杜昕,王现亮,王文刚,逄铭源,于海燕.MSCT及支气管镜在气管性支气管变异中的诊断价值[J].医学影像学杂志,2020(3):378-382.
作者姓名:王吉  杨馨艳  郑玉丽  杜昕  王现亮  王文刚  逄铭源  于海燕
作者单位:山东省潍坊市妇幼保健院放射科;山东省潍坊市中心血站献血服务科;山东省潍坊市人民医院放射科
摘    要:目的探讨多层螺旋CT及支气管镜在气管性支气管诊断中的价值。方法回顾性分析我院行胸部CT扫描患者44469例,发现气管性支气管87例。87例患者中同时行支气管镜检查者共37例。结果87例患者经CT后处理技术,气管性支气管全部清晰显示;CT横轴位图像显示84例。其中14例气管性支气管开口紧邻右肺上叶支气管,另73例距离右肺上叶支气管开口平均16.0mm。同时行支气管镜检查的37例中发现气管性支气管21例,均无法精确测量其开口与右肺上叶支气管开口的距离。结论MSCT及其后处理技术是气管性支气管诊断的首选检查方法。

关 键 词:气管性支气管  体层摄影术  X线计算机  支气管镜

Diagnostic value of MSCT and bronchoscope in tracheal bronchial variation
WANG Ji,YANG Xinyan,ZHENG Yuli,DU Xin,WANG Xianliang,WANG Wengang,PANG Mingyuan,YU Haiyan.Diagnostic value of MSCT and bronchoscope in tracheal bronchial variation[J].Journal of Medical Imaging,2020(3):378-382.
Authors:WANG Ji  YANG Xinyan  ZHENG Yuli  DU Xin  WANG Xianliang  WANG Wengang  PANG Mingyuan  YU Haiyan
Institution:(Department of Radiology, Weifang Maternal and Child Health Hospital, Weifang 261041, P.R.China;Department of Service After Blood Donation, Weifang Blood Centre, Weifang 261041, P.R.China;Department of Radiology, Weifang People’s Hospital, Weifang 261041, P.R.China)
Abstract:Objective To explore the value of MSCT and bronchoscope in the diagnosis of tracheal bronchus(TB).MethodsBy retrospective analysis of 44,469 cases of all the patients underwent chest CT scan in our hospital from March 2014 to December 2015,87 cases of TB were found,in which 37 underwent bronchoscopy.Results TB was all clearly displayed in CT axial images and post-processing images of the 87 patients,14 cases of tracheal bronchial openings were adjacent to the right upper lobe bronchus,the mean distance from the upper lobe bronchial openings was 16.0 mm in the remaining cases.37 of the 87 patients underwent bronchoscopy and 21 were found to have TB.Conclusion MSCT and its reprocessing technique are the gold standard and the first choice for diagnosis of TB.
Keywords:Tracheal bronchus  Tomography  X-ray computed  Bronchoscope
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