气管CT三维重建联合Hopkins内镜在特殊气管支气管异物诊治中的应用

Tracheal CT reconstruction and Hopkins endoscopy in diagnosis and treatment of special tracheobronchial foreign body

目的探讨气管CT三维重建对特殊气管支气管异物的诊断价值以及Hopkins内镜在异物取出术中的作用。方法对怀疑误吸特殊异物的20例气管异物患者术前行气管CT三维重建协助诊断,术中在Hopkins内镜监视下取出异物。结果支气管镜检查中发现20例患者的异物所在位置与CT三维重建结果完全吻合,并且均顺利取出异物。结论气管CT三维重建有助于特殊气管支气管异物的诊断,而Hopkins内镜的应用使得异物取出术更加精确、安全。

Objective To evaluate the application of tracheal CT three-dimensional reconstruction in the diagnosis of special tracheobronchial foreign body and the Hopkins endoscopy in surgery. Methods Tracheal CT three-dimensional reconstruction was applied to 20 patients with suspected special foreign body. Then Hopkins endoscopy was used to locate and remove the foreign bodies. Results Findings of bronchoscopy were consistent with the results of CT reconstruction in all the patients. And all the foreign bodies were successfully removed. Conclusion Tracheal CT reconstruction can help diagnose specific tracheobronchial foreign body,and Hopkins endoscopy makes the removal of foreign body more precise and safe.