多层螺旋CT诊断食管异物及其对临床治疗的价值.pdfVIP

3127 Xian YiYuan QingTianZhong 朱民召9男／62岁 01，11／2008 POS：HFS 09：16：180 mA： }(VP：12000 SL：一6000 ST：10OO Tlt：000 S，N：4／7 CW 多层螺旋 CT 诊断食管异物及对临床治疗的价值 杨志飞 陈雪华 刘书田 张克文 夏黎明 李治群 [摘要] 目的 探讨多层螺旋 CT 对诊断食管异物的优越性和临床治疗价值。方法 对 38 例 食管异物在多层螺旋 CT 多平面成像的表现以及对临床治疗的价值进行总结。结果 38 例有 600窗位：一48 异物病史患者，确诊有异物 32 例（8 例开胸的手术取出。24 例食道镜下取出），排除异物 6 471 例（胃镜排除后抗炎治疗并连续观察 1 年无不适），诊断符合率 100%。32 例异物中，各种形 态大小的鱼刺 17 例，鸡骨头或肉骨头 10例，部分假牙套 2 例，硬钱币 1例，鱼钩 1例，螺 钉 1 例。结论 多层螺旋 CT 对食管异物的诊断准确，直观，对临床治疗指导意义重大。多 层螺旋 CT 是诊断食道异物的一种方便可靠的检查方法，值得临床推广。 [关键词]食管异物，多平面重建，体层摄影术，X 线计算机 MSCT in diagnose and it’s clinical value in guidance therapy of esophageal foreign body YANG zhifei,CHEN xuehua,LIU jun,ZHANG kewen ,Xia liming ,LI zhiqun [Abstract] Objective To approach superiority of multi-slice spiral CT (MSCT) in diagnose and it’s clinical value in guidance therapy of esophageal foreign body. Methods 38 patients suspected foreign bodies in esophagus underwent examinations of multi-slice spiral CT. The findings of esophageal foreign bodies on MSCT images and the value in guidance of clinical therapy were summarized. Results Of all patients with history of esophageal foreign bodies, 32 were definitely diagnosed （8 proved by surgery, 24 proved by oesophagoscop）and 6 were excluded (excluded by gastroscope and had no complains after anti-inflammatory therapy and one-year-follow-up). The diagnose accordance rate was 100%. In all of 32 foreign bodies, it was included 17 fishbone of various shapes and sizes, 10 bones of chickens or other animals, 2 parts of artificial tooth and 1 coin ,fish-hook and bolt. Conclusion It is accurate