放射影像技术在小儿气管、支气管异物诊断中的应用价值
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摘要
目的研究分析在小儿气管、支气管异物的诊断中应用放射影像技术的临床价值。方法随机抽取在2011年8月至2016年7月到我院就诊的9例小儿气管、支气管异物患儿,均分别接受X线平片检查以及128层螺旋CT方式检查,统计不同诊断方式对小儿气管、支气管异物的检出率以及异物征象检查结果,并进行评价与对比分析。结果经过不同方式诊断后,128层螺旋CT诊断方式的检出率为100.00%,X线诊断方式的准确率为77.78%,经比较,128层螺旋CT方式检出率更高(P<0.05);128层螺旋CT诊断方式在诊断异物征象(纵膈位置变化、肺不张、支气管阻塞等)的时候检出率均高于X线诊断方式(P<0.05)。结论在诊断小儿气管、支气管异物时,选择放射影像技术(X线、128层螺旋CT)进行诊断均能够获得良好效果,但是128层螺旋CT诊断方式对异物的检出率更高,而且在异物征象检查结果方面更具优势,在临床中具有可观的价值,应当推广。
Objective To study the clinical value of radiographic imaging in the diagnosis of children's trachea and bronchial foreign bodies. Methods Nine children with tracheal and bronchial foreign bodies who were admitted to our hospital from August 2011 to July 2016 were randomly selected for X-ray examination and 128-slice spiral CT. The detection rate of foreign body trachea and bronchial foreign body and the results of foreign body sign examination were evaluated and compared. Results After diagnosis by different methods, the detection rate of 128-slice spiral CT was 100.00%, and the accuracy of X-ray diagnosis was 77.78%. After comparison, the detection rate of 128-slice spiral CT was higher(P<0.05). The detection rate of 128-slice spiral CT diagnosis in the diagnosis of foreign body signs(media position changes, atelectasis, bronchial obstruction, etc.) was higher than that of X-ray diagnosis(P<0.05). Conclusion In the diagnosis of children with tracheal and bronchial foreign bodies, radiographic imaging(X-ray, 128-slice spiral CT) can be used to diagnose the results, but the 128-slice spiral CT diagnosis method has a higher detection rate of foreign bodies. Moreover, it has more advantages in the results of foreign body sign examination, and has considerable value in the clinic and should be promoted.
Objective To study the clinical value of radiographic imaging in the diagnosis of children's trachea and bronchial foreign bodies. Methods Nine children with tracheal and bronchial foreign bodies who were admitted to our hospital from August 2011 to July 2016 were randomly selected for X-ray examination and 128-slice spiral CT. The detection rate of foreign body trachea and bronchial foreign body and the results of foreign body sign examination were evaluated and compared. Results After diagnosis by different methods, the detection rate of 128-slice spiral CT was 100.00%, and the accuracy of X-ray diagnosis was 77.78%. After comparison, the detection rate of 128-slice spiral CT was higher(P<0.05). The detection rate of 128-slice spiral CT diagnosis in the diagnosis of foreign body signs(media position changes, atelectasis, bronchial obstruction, etc.) was higher than that of X-ray diagnosis(P<0.05). Conclusion In the diagnosis of children with tracheal and bronchial foreign bodies, radiographic imaging(X-ray, 128-slice spiral CT) can be used to diagnose the results, but the 128-slice spiral CT diagnosis method has a higher detection rate of foreign bodies. Moreover, it has more advantages in the results of foreign body sign examination, and has considerable value in the clinic and should be promoted.
引文
[1]黄卫东.放射影像技术在小儿气管、支气管异物诊断中的应用价值[J].医疗装备,2016,29(4):16-17.
[2]孙志强.放射影像技术在小儿气管、支气管异物诊断中的应用价值[J].临床医学研究与实践,2016,1(12):128-129.
[3]温伟春.放射影像技术在小儿气管及支气管异物诊断中的临床应用价值[J].中国当代医药,2017,24(24):57-59.
[4]张长江.放射影像技术在小儿气管、支气管异物诊断中的应用[J].特别健康,2017,30(17):23-24.
[5]李锦熙.探讨放射影像技术在小儿气管支气管异物诊断中的应用[J].航空航天医学杂志,2016,27(11):1395-1396.
[6]范京.探讨放射影像技术在小儿气管支气管异物诊断中的应用[J].今日健康,2016,15(8):128-129.
[7]李良峰.放射影像技术用于诊断小儿气管、支气管异物的价值[J].心理医生,2016,22(14):30-31.
[8]赵晓芬.30例放射影像技术在小儿气管、支气管异物诊断中的应用研究[J].大家健康旬刊,2017,11(1):57.
[9]袁晓梅,陈文春.放射影像学技术在小儿气管-支气管异物诊断中的应用[J].医疗装备,2017,30(15):23-24.
[10]吴丹,肖桂卿.放射影像技术在老年气管、支气管异物诊断中的应用价值[J].中国医疗器械信息,2017,23(16):127-128.
[11]王九松,周杰,王宜芬.多层螺旋CT及图像后处理技术在小儿支气管异物诊断中的应用[J].医药前沿,2016,6(22):256.
[12]阿娜尔·阿肉甫汗,古力孜拉·阿孜拜.16层螺旋CT后处理技术在小儿气管支气管异物诊断中的应用及文献复习[J].现代医用影像学,2016,25(5):897-899.
[13]曹丽,魏秀华.多层螺旋CT多方法三维重建技术在诊断小儿气管支气管异物中的应用价值分析[J].中国医药指南,2016,14(12):42.
[14]卢春,程鲲.X线与螺旋CT在小儿气管、支气管异物诊断中的价值分析[J].医学影像学杂志,2017,27(2):360-362.
[15]郭兴全.64排螺旋CT气管三维重组在小儿气管异物中的应用价值分析[J].现代医用影像学,2016,25(1):95-96.
[16]胡龙非,刘克礼.多层螺旋CT三维重建及仿真内窥镜技术对儿童气管、支气管异物的诊断价值[J].医学影像学杂志,2016,26(6):1148-1150.
[17]Luo HN,Ma SJ,Guo HL,et al.Effects of different bronchoalveolar lavage methods on tracheobronchial foreign body patients[J].The Laryngoscope,2016,126(4):1000-1005.
[18]Xu Y,Feng RL,Jiang L,et al.Correlative factors for the location of tracheobronchial foreign bodies in infants and children[J].Journal of Thoracic Disease,2018,10(2):1037.
[2]孙志强.放射影像技术在小儿气管、支气管异物诊断中的应用价值[J].临床医学研究与实践,2016,1(12):128-129.
[3]温伟春.放射影像技术在小儿气管及支气管异物诊断中的临床应用价值[J].中国当代医药,2017,24(24):57-59.
[4]张长江.放射影像技术在小儿气管、支气管异物诊断中的应用[J].特别健康,2017,30(17):23-24.
[5]李锦熙.探讨放射影像技术在小儿气管支气管异物诊断中的应用[J].航空航天医学杂志,2016,27(11):1395-1396.
[6]范京.探讨放射影像技术在小儿气管支气管异物诊断中的应用[J].今日健康,2016,15(8):128-129.
[7]李良峰.放射影像技术用于诊断小儿气管、支气管异物的价值[J].心理医生,2016,22(14):30-31.
[8]赵晓芬.30例放射影像技术在小儿气管、支气管异物诊断中的应用研究[J].大家健康旬刊,2017,11(1):57.
[9]袁晓梅,陈文春.放射影像学技术在小儿气管-支气管异物诊断中的应用[J].医疗装备,2017,30(15):23-24.
[10]吴丹,肖桂卿.放射影像技术在老年气管、支气管异物诊断中的应用价值[J].中国医疗器械信息,2017,23(16):127-128.
[11]王九松,周杰,王宜芬.多层螺旋CT及图像后处理技术在小儿支气管异物诊断中的应用[J].医药前沿,2016,6(22):256.
[12]阿娜尔·阿肉甫汗,古力孜拉·阿孜拜.16层螺旋CT后处理技术在小儿气管支气管异物诊断中的应用及文献复习[J].现代医用影像学,2016,25(5):897-899.
[13]曹丽,魏秀华.多层螺旋CT多方法三维重建技术在诊断小儿气管支气管异物中的应用价值分析[J].中国医药指南,2016,14(12):42.
[14]卢春,程鲲.X线与螺旋CT在小儿气管、支气管异物诊断中的价值分析[J].医学影像学杂志,2017,27(2):360-362.
[15]郭兴全.64排螺旋CT气管三维重组在小儿气管异物中的应用价值分析[J].现代医用影像学,2016,25(1):95-96.
[16]胡龙非,刘克礼.多层螺旋CT三维重建及仿真内窥镜技术对儿童气管、支气管异物的诊断价值[J].医学影像学杂志,2016,26(6):1148-1150.
[17]Luo HN,Ma SJ,Guo HL,et al.Effects of different bronchoalveolar lavage methods on tracheobronchial foreign body patients[J].The Laryngoscope,2016,126(4):1000-1005.
[18]Xu Y,Feng RL,Jiang L,et al.Correlative factors for the location of tracheobronchial foreign bodies in infants and children[J].Journal of Thoracic Disease,2018,10(2):1037.
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