| 吴慧莹,徐文彪,田金生,罗源利,张明杰,李建明,周宁.儿童交通性支气管肺前肠畸形影像学表现[J].中国医学影像技术,2015,31(2):248~252 |
| 儿童交通性支气管肺前肠畸形影像学表现 |
| Imaging features of communicating bronchopulmonary foregut malformation in children |
| 投稿时间：2014-08-08 修订日期：2014-11-30 |
| DOI：10.13929/j.1003-3289.2015.02.025 |
| 中文关键词: 支气管肺前肠畸形 X线 内镜,消化道 体层摄影术,X线计算机 |
| 英文关键词:Congenital foregut malformation X-rays Endoscopes, gastrointestinal Tomography, X-ray computed |
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| 中文摘要: |
| 目的 分析儿童交通性支气管肺前肠畸形(CBPFM)的影像学特征。方法 回顾性分析5例CBPFM患儿的临床及影像学资料。患儿均接受X线、消化道造影(GI)及CT检查,其中2例接受CT增强扫描。结果 所有患者均发生在右肺,其中右肺发育不良2例,肺叶内型隔离肺2例,右肺上叶支气管闭锁1例。5例均合并食管-气管瘘,瘘口位于T6水平1例,T8、T9水平各2例。X线表现为白肺2例,软组织肿块影2例,肺炎1例。GI可清晰显示瘘口位置、大小及走向。CT检查可显示CBPFM的各种表现及其合并畸形。结论 CBPFM应包含一种或多种气道、肺组织及血管的异常,且合并食管-气管瘘。GI可直接、清晰显示食管-气管瘘。CT检查可显示肺、气道和血管及前肠发育异常情况。CT和GI相结合是诊断本病的最佳检查方法。 |
| 英文摘要: |
| Objective To analyze the imaging features of communicating bronchopulmonary foregut malformation (CBPFM) in children. Methods The clinical and image data of five cases with CBPFM were retrospectively analyzed. All cases had been examined by X-ray, gastrointestinal image (GI) and CT, and 2 cases were examined by enhanced CT. Results All cases had occurred in right lung, and 2 cases were right pulmonary dysplasia, 2 were intralobar bronchial sequestration and 1 case was bronchial atresia. All cases had tracheoesophageal fistula. The orificium fistulae was on T6 in 1 case, on T8 and T9 in 2 cases respectively. X-ray showed as white lung in 2 cases, as mass in 2 cases, and as pneumonia in 1 case. GI could identify the location, size and direction of the fistula. CT could identify the imaging features of CBPFM and other organ system malformations. Conclusion CBPFM is a heterogeneous group of pulmonary developmental anomalies which combines the tracheoesophageal fistula. Tracheoesophageal fistula can be displayed with GI. CT can evaluate the parenchymal abnormalities, airway anomalies, vascular abnormalities and foregut anomalies. CT and GI are the preferred available methods for detection of CBPFM. |
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