摘要
目的探讨电子支气管镜对婴幼儿呼吸道畸形的诊断价值。方法回顾性分析78例存在呼吸道畸形婴幼儿的临床、电子支气管镜及影像学资料。结果电子支气管镜检查显示,78例婴幼儿呼吸道畸形包括单侧鼻后孔狭窄3例,先天性喉软骨软化22例,先天性喉囊肿2例,喉蹼1例,气管支气管软化27例,气管支气管狭窄15例,气管性支气管3例,气管憩室1例,桥支气管1例,气管食管瘘1例,复合畸形2例。X线胸片显示多为肺炎或支气管炎征象。胸部CT提示气管或支气管狭窄征象4例,支气管起源异常征象1例。CT气道三维重建诊断气管支气管狭窄8例,支气管起源异常2例,气管憩室1例。结论电子支气管镜对婴幼儿呼吸道畸形的诊断有重要价值。
Objective To assess the diagnostic value of electronic bronchoscopy in infants with respiratory tract malfor mation （RTM）. Methods The data including clinical menifestations, electronic bronchoscopic ridings and imageology in 78 in fants with RTM were analyzed retrospectively. Results The hronchoscopic findings in the 78 inlands were as follows： unilateral choanal stenosis （3 cases）, congenital laryngomalacia （22）, congenital laryngeal cyst （2） , laryngeal web（ i）, tracheobronchomala cia （27）, tracheobronchial stenosis （15）, tracheal bronchus （3）, tracheal diverticulum （1）, bridging bronchus （1）, tracheoesoph ageal fistula （1）, and complex malformation （2）. Chest radiography showed pneumonia or bronchitis. Chest CT demonstrated that four had the signs of tracheal or bronchial stenosis, one had abnormal origin of bronchus. The threedimensional airway reconstruc tion found eight with tracheobronchial stenosis, two with abnormal origin of bronchus, and one with tracheal diverticulum. Con clusion Electronic bronchoscopy has a significant value in the diagnosis of RTM in infants.
出处
《齐鲁医学杂志》
2012年第5期463-465,共3页
Medical Journal of Qilu
关键词
支气管镜检查
婴儿
呼吸系统畸形
诊断
bronchoscopy
infant
respiratory system abnormalities
diagnosis
