Application of Minimum Intensity Projection and CT Virtual Endoscope Combination of 64-slice Spiral CT in the Treatment of Tracheobronchial Foreign Bodies in Children_West China Medical Journal

Authors：

CHEN Xiaoyu , ZHONG Jingsong , CHEN Junkun

Medical Imaging Department, Xuzhou Medical College Affiliated Huaian No. 2 Hospital, Huaian, Jiangsu 223002, P. R. China;

Corresponding author：

Keywords：

多排螺旋CT; 最小密度投影; 仿真内窥镜; 小儿; 支气管异物

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目的　探讨64层螺旋CT最小密度投影（MinIP）结合CT仿真内窥镜（CTVE）对小儿支气管异物的应用价值。方法　对2010年6月－2012年1月临床拟诊为气管支气管异物的48例患儿行64层螺旋CT检查同期行纤维支气管镜检查，分析64层螺旋CT MinIP结合CTVE等多种重建技术对小儿支气管异物显示情况，并与纤维支气管镜检查结果对照。结果　MinIP结合CTVE技术诊断气管支气管异物28例，以纤维支气管镜为标准，敏感性93.33%，特异性94.44%，诊断准确率93.76%；两种方法对支气管异物的检出率比较其差异无统计学意义（χ2=0.174，P＞0.05）。结论　MinIP结合CTVE技术是一种快速无创的检出方法，大大提高了小儿气管支气管异物的敏感性、特异性和检出率，对小儿气管支气管异物纤维支气管镜取出治疗有重要价值。

Citation： CHEN Xiaoyu,ZHONG Jingsong,CHEN Junkun. Application of Minimum Intensity Projection and CT Virtual Endoscope Combination of 64-slice Spiral CT in the Treatment of Tracheobronchial Foreign Bodies in Children. West China Medical Journal, 2012, 27(11): 1649-1651. doi: Copy

1.	Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12979 cases[J]. Anesth Analg, 2010, 111(4): 1016-1025.
2.	Skoulakis CE, Doxas P G, Papadakis CE, et a1. Bronchoscopy for foreign body removed in children. A review and analysis of 210 cases[J]. Int J Pediatr Otorhinolaryngol, 2000, 53: 143-148．.
3.	Kosueu P, Ahmetoglu A，Koramaz I, et al. Low-dose MDCT and virtual bronchoscopy in pediatric patients with foreignbody aspiration[J]. Am J Roentgenol, 2004, 183(6): 1771-1777.
4.	Haliloglu M, Ciftci AO, Oto A, et al. CT Virtual Bronchoscopy in the Evaluation of Children with Suspected Foreign Body Aspiration[J]. Eur J Radiol, 2003, 48(2): 188-192．.
5.	罗远红,罗明贤,刘文洪,等. MSCT扫描技术在诊断婴幼儿气管支气管非金属异物中的应用价值[J].中国现代医学杂志, 2009, 19(10): 1563-1565.
6.	苗英章, 步桂清, 张秀者, 等.气管支气管异物X线表现与临床分析[J]. 河北医科大学学报, 2004, 25: 39-40.
7.	吴显阳, 赵珑. 多层螺旋CT和同层动态CT电影扫描对小儿气管异物的诊断价值[J].中国医学影像技术, 2010, 26(1): 86-88.
8.	Applegate KE, Dardinger JT, Lieber ML, et al. Spiral CT scanning technique in the detection of aspiration of lego foreign bodies[J]．Pediatr Radiol, 2001, 31(12)： 836-840．.
9.	彭泽学, 毛元德, 李永玲. 多排螺旋CT对诊断小儿支气管内异物的应用价值[J]．实用医学影像杂志, 2010, 11(4): 219-221.
10.	赵廷超, 任国政.水合氯醛给药途径在64排CT气管成像中的临床应用[J].西南医学, 2010, 7: 124.
11.	陈志敏.儿童纤维支气管镜术的安全性[J]. 临床儿科杂志, 2009, 27(1): 12-14.
12.	中华医学会上海分会肺科学会纤支镜支气管镜学组．纤维支气管镜检查的严重并发症调查[J]. 中华结核和呼吸杂志, 1996, 19(4): 226-227．.
13.	Tan LL, Han MJ, Li YB, et al. Role of 16 slices spiral CT angiography with 3-dimensional CT and CT virtual endoscopy in detecting blood supply of lung carcinoma[J]. Chin J Can, 2007, 26(1): 73-77.
14.	雍军, 张华, 陈晓飞, 等. 螺旋CT图像后处理技术在鼻腔鼻窦疾病诊断中的应用与评价[J]. 临床耳鼻咽喉头颈外科杂志, 2007, 21(20): 922-925.

1. 　Fidkowski CW, Zheng H, Firth PG. The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12979 cases[J]. Anesth Analg, 2010, 111(4): 1016-1025.
2. 　Skoulakis CE, Doxas P G, Papadakis CE, et a1. Bronchoscopy for foreign body removed in children. A review and analysis of 210 cases[J]. Int J Pediatr Otorhinolaryngol, 2000, 53: 143-148．.
3. 　Kosueu P, Ahmetoglu A，Koramaz I, et al. Low-dose MDCT and virtual bronchoscopy in pediatric patients with foreignbody aspiration[J]. Am J Roentgenol, 2004, 183(6): 1771-1777.
4. 　Haliloglu M, Ciftci AO, Oto A, et al. CT Virtual Bronchoscopy in the Evaluation of Children with Suspected Foreign Body Aspiration[J]. Eur J Radiol, 2003, 48(2): 188-192．.
5. 　罗远红,罗明贤,刘文洪,等. MSCT扫描技术在诊断婴幼儿气管支气管非金属异物中的应用价值[J].中国现代医学杂志, 2009, 19(10): 1563-1565.
6. 　苗英章, 步桂清, 张秀者, 等.气管支气管异物X线表现与临床分析[J]. 河北医科大学学报, 2004, 25: 39-40.
7. 　吴显阳, 赵珑. 多层螺旋CT和同层动态CT电影扫描对小儿气管异物的诊断价值[J].中国医学影像技术, 2010, 26(1): 86-88.
8. 　Applegate KE, Dardinger JT, Lieber ML, et al. Spiral CT scanning technique in the detection of aspiration of lego foreign bodies[J]．Pediatr Radiol, 2001, 31(12)： 836-840．.
9. 　彭泽学, 毛元德, 李永玲. 多排螺旋CT对诊断小儿支气管内异物的应用价值[J]．实用医学影像杂志, 2010, 11(4): 219-221.
10. 　赵廷超, 任国政.水合氯醛给药途径在64排CT气管成像中的临床应用[J].西南医学, 2010, 7: 124.
11. 　陈志敏.儿童纤维支气管镜术的安全性[J]. 临床儿科杂志, 2009, 27(1): 12-14.
12. 　中华医学会上海分会肺科学会纤支镜支气管镜学组．纤维支气管镜检查的严重并发症调查[J]. 中华结核和呼吸杂志, 1996, 19(4): 226-227．.
13. 　Tan LL, Han MJ, Li YB, et al. Role of 16 slices spiral CT angiography with 3-dimensional CT and CT virtual endoscopy in detecting blood supply of lung carcinoma[J]. Chin J Can, 2007, 26(1): 73-77.
14. 　雍军, 张华, 陈晓飞, 等. 螺旋CT图像后处理技术在鼻腔鼻窦疾病诊断中的应用与评价[J]. 临床耳鼻咽喉头颈外科杂志, 2007, 21(20): 922-925.

West China Medical Journal

Application of Minimum Intensity Projection and CT Virtual Endoscope Combination of 64-slice Spiral CT in the Treatment of Tracheobronchial Foreign Bodies in Children

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