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目的探讨螺旋CT虚拟内诊镜(CTVE)在小儿气管、支气管异物诊断上的应用价值。方法回顾性分析东南大学医学院附属徐州医院1998年1月至2004年12月收治的121例术前经CTVE诊断为气管支气管异物,并行支气管镜探查术患儿的诊疗情况,并分析CTVE诊断在临床应用上的意义及诊断的阳性符合率。结果121例经CTVE诊断并行支气管镜探查证实并取除异物者115例,诊断符合率95.04%。结论CTVE检查是目前无创非侵入性诊断小儿气管支气管异物的较理想方法。
Objective To investigate the value of spiral CT virtual endoscopy (CTVE) in the diagnosis of pediatric tracheal and bronchial foreign bodies. Methods The clinical data of 121 cases diagnosed as tracheobronchial foreign body and concurrent bronchoscopy by CTVE from January 1998 to December 2004 in Xuzhou Hospital Affiliated to School of Medicine of Southeast University were analyzed retrospectively. Significance of clinical application and diagnostic positive coincidence rate. Results Among the 121 cases, 115 cases were confirmed by CTVE and bronchoscopy. The coincidence rate was 95.04%. Conclusion CTVE examination is the current non-invasive non-invasive diagnosis of pediatric tracheobronchial foreign body more ideal method.