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; 仿真內窺鏡; 小兒; 支氣管異物

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目的　探討64層螺旋CT最小密度投影（MinIP）結合CT仿真內窺鏡（CTVE）對小兒支氣管異物的應用價值。方法　對2010年6月－2012年1月臨床擬診為氣管支氣管異物的48例患兒行64層螺旋CT檢查同期行纖維支氣管鏡檢查，分析64層螺旋CT MinIP結合CTVE等多種重建技術對小兒支氣管異物顯示情況，并與纖維支氣管鏡檢查結果對照。結果　MinIP結合CTVE技術診斷氣管支氣管異物28例，以纖維支氣管鏡為標準，敏感性93.33%，特異性94.44%，診斷準確率93.76%；兩種方法對支氣管異物的檢出率比較其差異無統計學意義（χ2=0.174，P＞0.05）。結論　MinIP結合CTVE技術是一種快速無創的檢出方法，大大提高了小兒氣管支氣管異物的敏感性、特異性和檢出率，對小兒氣管支氣管異物纖維支氣管鏡取出治療有重要價值。

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

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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.	羅遠紅,羅明賢,劉文洪,等. MSCT掃描技術在診斷嬰幼兒氣管支氣管非金屬異物中的應用價值[J].中國現代醫學雜志, 2009, 19(10): 1563-1565.
6.	苗英章, 步桂清, 張秀者, 等.氣管支氣管異物X線表現與臨床分析[J]. 河北醫科大學學報, 2004, 25: 39-40.
7.	吳顯陽, 趙瓏. 多層螺旋CT和同層動態CT電影掃描對小兒氣管異物的診斷價值[J].中國醫學影像技術, 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.	彭澤學, 毛元德, 李永玲. 多排螺旋CT對診斷小兒支氣管內異物的應用價值[J]．實用醫學影像雜志, 2010, 11(4): 219-221.
10.	趙廷超, 任國政.水合氯醛給藥途徑在64排CT氣管成像中的臨床應用[J].西南醫學, 2010, 7: 124.
11.	陳志敏.兒童纖維支氣管鏡術的安全性[J]. 臨床兒科雜志, 2009, 27(1): 12-14.
12.	中華醫學會上海分會肺科學會纖支鏡支氣管鏡學組．纖維支氣管鏡檢查的嚴重并發癥調查[J]. 中華結核和呼吸雜志, 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.	雍軍, 張華, 陳曉飛, 等. 螺旋CT圖像后處理技術在鼻腔鼻竇疾病診斷中的應用與評價[J]. 臨床耳鼻咽喉頭頸外科雜志, 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. 　羅遠紅,羅明賢,劉文洪,等. MSCT掃描技術在診斷嬰幼兒氣管支氣管非金屬異物中的應用價值[J].中國現代醫學雜志, 2009, 19(10): 1563-1565.
6. 　苗英章, 步桂清, 張秀者, 等.氣管支氣管異物X線表現與臨床分析[J]. 河北醫科大學學報, 2004, 25: 39-40.
7. 　吳顯陽, 趙瓏. 多層螺旋CT和同層動態CT電影掃描對小兒氣管異物的診斷價值[J].中國醫學影像技術, 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. 　彭澤學, 毛元德, 李永玲. 多排螺旋CT對診斷小兒支氣管內異物的應用價值[J]．實用醫學影像雜志, 2010, 11(4): 219-221.
10. 　趙廷超, 任國政.水合氯醛給藥途徑在64排CT氣管成像中的臨床應用[J].西南醫學, 2010, 7: 124.
11. 　陳志敏.兒童纖維支氣管鏡術的安全性[J]. 臨床兒科雜志, 2009, 27(1): 12-14.
12. 　中華醫學會上海分會肺科學會纖支鏡支氣管鏡學組．纖維支氣管鏡檢查的嚴重并發癥調查[J]. 中華結核和呼吸雜志, 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. 　雍軍, 張華, 陳曉飛, 等. 螺旋CT圖像后處理技術在鼻腔鼻竇疾病診斷中的應用與評價[J]. 臨床耳鼻咽喉頭頸外科雜志, 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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