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多层螺旋CT后处理技术对气管 支气管异物的诊断价值
作者:代燕增 邱树芬 张巧权 
单位:云南省曲靖市妇幼医院
关键词:多层螺旋CT 三维重建 仿真内窥镜 气管支气管异物 
分类号:R445;R768.1
出版年·卷·期(页码):2010·第19卷·第一期(98-104)
摘要:
目的:评价多层螺旋CT三维重建及仿真内窥镜技术对气管支气管异物的诊断价值。方法:对20例支气管异物、1例气管异物、1例先天性气管性支气管发育异常、1例气管良性肿瘤患儿行多层螺旋CT检查并进行三维重建及仿真内窥镜技术显示气管支气管病变;三维重建技术包括多平面重建、最大密度投影、最小密度投影、表面遮盖显示和容积再现,CT仿真内窥镜对气管支气管异物的显示与支气管镜所见具有一致性。结果:多层螺旋CT三维重建及仿真内窥镜可准确、直观地显示气管支气管异物的位置、大小、形态、密度及阻塞程度。结论:多层螺旋CT三维重建及仿真内窥镜可准确评价气管支气管异物,是一种准确无创性诊断方法,为临床治疗提供直观的影像学资料,具有较高的临床诊断及指导价值。
Objective: To evaluate multi-slice spiral CT three-dimensional reconstruction and virtual endoscopy to the diagnosis of tracheobronchial foreign bodies. Methods: 20 cases of bronchial foreign body, 1 case tracheobronchial foreign body, 1 case of congenital tracheal bronchial dysplasia, 1 in children with benign tracheal line of multi-slice spiral CT examination and three-dimensional reconstruction and virtual endoscopy showed tracheobronchial lesions; three-dimensional reconstruction techniques include multi-planar reconstruction, maximum intensity projection, minimum intensity projection, surface shaded display and volume rendering, CT virtual endoscopy of the tracheobronchial foreign bodies in the display and bronchoscopic findings consistent. Results: Multi-slice spiral CT three-dimensional reconstruction and virtual endoscopy can accurately and intuitively display the tracheobronchial foreign body location, size, shape, density and degree of obstruction. Conclusion: Multi-slice spiral CT three-dimensional reconstruction and virtual endoscopy can be an accurate assessment of tracheobronchial foreign body, is an accurate non-invasive diagnostic method for the clinical treatment of the image data to provide intuitive, and the higher the value of clinical diagnosis and guidance.
参考文献:
[1] 韩英, 马大庆. 多层螺旋CT仿真支气管镜对气管支气管病变的诊断价值[J]. 中华放射学杂志, 2006, 40(9): 150-152.
Han Y, Ma DQ. Multi-slice helical CT virtual bronchoscopy of the tracheobronchial le
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