儿童交通性支气管肺前肠畸形影像学表现

发布时间：2018-01-20 11:27

本文关键词： 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　出处：《中国医学影像技术》2015年02期 　论文类型：期刊论文

【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。
[Abstract]:Objective to analyze the imaging features of children with communicating bronchopulmonary foregut malformation (CBPFM). Methods the clinical and imaging data of 5 children with CBPFM were analyzed retrospectively. Gi) and CT were performed in 2 cases. Results all the patients were in the right lung, including 2 cases of dysplasia of the right lung and 2 cases of isolated lung with intralobar type. The right superior lobar bronchus atresia in 1 case was accompanied with esophagotracheal fistula. The fistula was located at T6 level in 1 case and T8 T9 level in 2 cases. X-ray findings showed white lung in 2 cases and soft tissue mass in 2 cases. The location, size and direction of fistula in 1 case with pneumonia could be clearly demonstrated by CT. Ct examination could show various manifestations of CBPFM and its associated malformation. Conclusion CBPFM should contain one or more airways. The pulmonary tissue and blood vessel were abnormal, and the esophagotracheal fistula. GI could be directly displayed. The esophagotracheal fistula could be clearly displayed by CT. The combination of CT and GI is the best diagnostic method for this disease.
【作者单位】：广州市妇女儿童医疗中心影像中心;
【分类号】：R816.92;R725
【正文快照】： 表1 5例CBPFM的影像表现病例性别年龄(月)病变位置气管-食管瘘位置CBPFM合并畸形1女1.0右肺T8右肺发育不良、马蹄肺、气管狭窄、桥支气管先天性心脏病、脊椎畸形2女0.4右肺T9右肺发育不良、气管狭窄先天性心脏病3女42.0右肺下叶T9肺叶内型隔离肺未见4女14.0右肺上叶T6右肺上叶

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