[1]刘　鹏 张建良 刘建滨 钟礼立 周文武.多排螺旋ＣＴ气道、血管三维重建评估先天性左肺动脉吊带患儿气道狭窄的作用探讨[J].临床小儿外科杂志,2018,17(01):47-50.
　Liu Peng,Zhang Jianliang,Liu Jianbin,et al.Threedimensional reconstruction imaging of airway and vascular multislice spiral computed tomography for evaluating left pulmonary artery sling.[J].Journal of Clinical Pediatric Surgery,2018,17(01):47-50.
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多排螺旋ＣＴ气道、血管三维重建评估先天性左肺动脉吊带患儿气道狭窄的作用探讨

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年01期 页码: 47-50 栏目: 临床研究 出版日期: 2018-01-28
Title:
Threedimensional reconstruction imaging of airway and vascular multislice spiral computed tomography for evaluating left pulmonary artery sling.
作者:
刘　鹏  张建良  刘建滨  钟礼立  周文武
中南大学湘雅公共卫生学院
Author(s):
Liu Peng1; Zhang Jianliang2; Liu Jianbin2; Zhong Lili3; Zhou Wenwu4.
1.Xiangya School of Public Health,Central South University,Changsha 410078,China;
关键词:
肺动脉／畸形; 气管狭窄; 体层摄影术; Ｘ线计算机
Keywords:
Pulmonary Artery/AB;  Tracheal Stenosis;  Tomography;  XRay Computed
文献标志码:
A
摘要:
目的　探讨多排螺旋ＣＴ（ＭＳＣＴ）气道三维重建在左肺动脉吊带诊断及评估气道狭窄中
的作用。　方法　回顾性分析ＭＳＣＴ诊断的左肺动脉吊带伴气道畸形、狭窄的１２例患儿影像学检查资
料。　结果　１２例患者中ⅠＡ型３例，ⅠＢ型１例，ⅡＡ型３例，ⅡＢ型４例，１例特殊类型。１２例患儿均
出现气道狭窄，其中短段气道狭窄８例，长段气道狭窄４例。６例合并其它心血管畸形，包括：房间隔缺
损、室间隔缺损、动脉导管未闭及永存左上腔静脉各１例，卵圆孔未闭２例。８例接受支气管镜检查，发
现２例完全性气管软骨环，１例气管软化，２例会厌软化，３例喉软骨软化。　结论　ＭＳＣＴ在左肺动脉
吊带的诊断中对气道畸形及狭窄的评价更具有临床价值，ＭＳＣＴ气道及血管三维重建是最佳的成像方
案，对先天性肺动脉吊带的分型、术前评估及术后随访有重要价值。
Abstract:
ObjectiveTo explore the value of multislice computed tomography (MSCT) threedimensional reconstruction in the diagnosis and evaluation of left pulmonary artery sling (LPAS) and airway stenosis.MethodsRetrospective analyses were performed for 12 cases of LPAS with tracheobronchial abnormalities.ResultsThe clinical types were ⅠA (n=3),ⅠB (n=1),ⅡA (n=3),ⅡB (n=4) and special (n=1).All of them had concurrent tracheobronchial stenosis.Tracheobronchial stenosis was short (n=8) or long (n=4).Among 6 cases with other cardiac malformations,there were atrial septal defect (n=1),ventricular septal defect (n=1) ,patent ductus arteriosus (n=1) and persistent left superior vena cava (n=1) while another two cases had patent foramen ovale.Bronchoscope revealed complete tracheal cartilage ring (n=2),trachomalacia (n=1),epiglottis softening (n=2) and laryngomalacia (n=3).ConclusionAs an ideal imaging modality for simultaneously identifying LPAS and associated tracheobronchial anomalies,MSCT airway and vascular threedimensional reconstruction imaging provides important information for PSA classification.

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