摘要
目的 研究螺旋CT仿真支气管镜（CTVB）对重症烧伤合并吸入性损伤的诊断价值。方法 2012年1月-2014年10月收治的重症烧伤伴吸入性损伤患者82例,均通过螺旋CT仿真支气管镜（CTVB）及纤维支气管镜（FOB）检查,并作对照分析。结果 螺旋CT仿真支气管镜（CTVB）能够显示段及亚段支气管腔内的结构及病变,其图像可与纤维支气管镜（FOB）图像相媲美,并可通过阻塞部位对远端支气管进行观察,且可以到达一般纤维支气管镜（FOB）不能到达的第Ⅴ级及以下支气管。结论 螺旋CT仿真支气管镜可以较真实地反映复杂气道的解剖关系及气道的形态改变,可作为纤维支气管镜的筛选方法,为临床上怀疑重症烧伤伴吸入性损伤患者提供了一种简便易行且高效的检查方法。
Objective To study the diagnostic value of spiral CT virtual bronchoscopy （CTVB） in severe burn patients complicated with inhalation injury.MethodsFrom January 2012 to October 2014, 82 cases of severe burn patients with inhalation injury were treated by spiral CT simulation bronchoscopy （CTVB） and fiber bronchoscopy （FOB）. ResultsSpiral CT virtual bronchoscopy （CTVB） can display segmental and sub segmental bronchial structures and lesions, the image can be and fiberoptic bronchoscopy （FOB） images comparable to, and through the site of obstruction of distal bronchial were observed, and can reach general ifberoptic bronchoscopy （FOB） cannot reach gradeⅤand below bronchus.ConclusionSpiral CT virtual bronchoscopy can factually reflect the complex airway anatomy and the relationship between airway morphological changes can be used as a screening method for fiberoptic bronchoscopy, for clinically suspected severe burn with inhalation injury patients provides a simple and efifcient inspection method.
出处
《继续医学教育》
2016年第9期145-147,共3页
Continuing Medical Education
