CT三维成像技术辅助复杂食管异物取出术

  摘要：目的总结CT三维成像技术在复杂食管异物取出术中的作用及疗效。方法收集为深圳市龙岗区耳鼻咽喉医院2013年7 月~2017年1月收治的38例复杂食管异物患者的临床资料，依据病史、临床表现及辅助检查，并通过CT三维成像技术辅助定性、定位诊断，指导手术方案的制订和实施。结果所有患者行食管镜探查及异物取出术，手术顺利，术中所见与术前三维影像检查结果一致，术后无严重并发症出现，均治愈出院。结论复杂性食管异物由于其本身性质和位置的特殊性，诊断和治疗具有一定难度，成像技术可以有效地显示和诊断异物，指导手术的顺利实施。

Computerized tomography three dimensional imaging assisted removal of complicated esophageal foreign bodies

 ObjectiveTo summarize the role and therapeutic effect of computerized tomography (CT) three dimensional (3D) imaging technique in the removal of complicated esophageal foreign bodies.MethodsClinical data of 38 patients with complicated esophageal foreign body admitted in our hospital between July 2013 and Jan 2017 were analyzed retrospectively. They were diagnosed and treated according to the medical history, clinical manifestations and auxiliary examinations. Diagnosis and localization of esophageal foreign body, and development of surgical scheme were assisted with CT 3D imaging. ResultsAll patients underwent esophagoscopic exploration and foreign body removal successfully. The intraoperative findings were consistent with the preoperative 3D imagings. All patients were cured and discharged without serious complications.ConclusionThe diagnosis and treatment of complicated esophageal foreign body are difficult due to the particularities of their property and location. CT 3D imaging technology can effectively display and diagnose foreign body, and guide the smooth implementation of operation.