薛潋滟,朱铭,杜隽,仲卿雯,邵虹,施美华.小儿先天性心脏病伴气管狭窄的影像学诊断[J].中国医学影像技术,2006,22(7):1009~1011
小儿先天性心脏病伴气管狭窄的影像学诊断
Imaging diagnosis of congenital heart diseases with trachea stenosis in children
投稿时间:2006-02-20  修订日期:2006-04-12
DOI:
中文关键词:  先天性心脏病  气管狭窄  体层摄影术,X线计算机  三维重建
英文关键词:Congenital heart disease  Tracheal stenosis  Tomography, X-ray computed  Reconstruction
基金项目:
作者单位E-mail
薛潋滟 上海交通大学医学院附属上海儿童医学中心放射科,上海 200127 xly1030@hotmail.com 
朱铭 上海交通大学医学院附属上海儿童医学中心放射科,上海 200127  
杜隽 上海交通大学医学院附属上海儿童医学中心放射科,上海 200127  
仲卿雯 上海交通大学医学院附属上海儿童医学中心放射科,上海 200127  
邵虹 上海交通大学医学院附属上海儿童医学中心放射科,上海 200127  
施美华 上海交通大学医学院附属上海儿童医学中心放射科,上海 200127  
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中文摘要:
      目的 探讨小儿先天性心脏病(先心病)伴气管狭窄的发病情况、病理分型、诊断技术与影像学表现。方法 25例先天性心脏病伴气管狭窄的患儿进行影像学检查。本组所有患儿均摄片检查,21例患儿行胸部螺旋CT气管三维重建,5例患儿行气管造影,以明确气管狭窄的部位及程度。结果 全部先天性心脏病患儿均伴有不同程度的气管狭窄,其中伴发右上气管性支气管5例。结论 小儿先天性心脏病伴气管狭窄应引起临床重视,及早明确诊断,指导治疗及预后。目前胸部螺旋CT气管三维重建是明确气管狭窄的部位及程度的最佳无创性手段。
英文摘要:
      Objective To explore the clinical presentations, pathology, diagnostic technology and imaging findings of congenital heart disease with tracheal stenosis. Methods To confirm the site and the degree of tracheal stenosis, X-ray plain films were achieved from 25 patients; 21 cases underwent CT and 3D reconstruction of trachea; 5 were examined by bronchogram. Results All the patients were diagnosed as tracheal stenosis with different degrees, among which 5 cases were confirmed as right upper tracheal bronchus. Conclusion Clinician and radiologist should pay attention to the diagnosis of tracheal stenosis, make diagnosis as early as possible, and aid clinician to get optimal therapy protocol. CT and 3D reconstruction of the trachea is the best nontraumatical way to define the stenosis of trachea.
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