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目的探讨X线胸片与透视相结合的方法在儿童支气管异物患者中的诊断价值。方法对支气管镜证实的53例支气管异物患儿的胸片及X线透视表现进行回顾性分析。结果 53例患儿中50例有纵隔摆动征象,42例有一侧肺野透亮度增高,40例膈肌活动度减弱。X线诊断与支气管镜检查符合率为94.3%。结论 X线胸片与透视相结合的方法可以取长补短、互相补充,既可静态观察胸部的X线表现,又可动态观察纵隔摆动情况及膈肌活动度如何,两者相结合是诊断支气管异物的首选方法。
Objective To investigate the diagnostic value of X-ray combined with fluoroscopy in children with bronchial foreign body. Methods 53 cases of bronchial foreign body confirmed by bronchoscopy were retrospectively analyzed. Results Fifty-three of 53 children had mediastinum swing signs. Forty-two had increased lung brightness on the one side and 40 had decreased diaphragmatic muscle activity. The coincidence rate of X-ray diagnosis and bronchoscopy was 94.3%. Conclusion The combination of X-ray and fluoroscopy can complement each other and complement each other, which not only can observe the chest X-ray statics statically, but also dynamically observe the mediastinum swing and diaphragmatic muscle activity. The combination of the two is the first choice for the diagnosis of bronchial foreign body method.