Zhang Junmei, Shen Bei, Guo Zhiyong
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Aug;28(15):1158-9.
Analysis of multislice CT (MSCT) on the misdiagnosis reasons of children bronchial foreign body, avoid missed diagnosis, to achieve reasonable application.
Fourteen cases of misdiagnosed cases of data were retrospectively analyzed in our department of suspicious in children with bronchial foreign body, and discuss the misdiagnosis reasons.
Fourteen cases of misdiagnosis of children with 9 cases by MSCT examination showed no obvious foreign matter. Through bronchoscopy intraoperative found foreign body, 5 cases by multislice CT (MSCT) to found foreign body, 4 cases of phlegm scabs, 1 case is inflammatory granulation, all recovered after treatment. Reasons of misdiagnosis were threshold selection error, scanning level from the inception glottis, imaging error, etc.
MSCT is a very valuable diagnostic on airway foreign body check method, but there are certain limitations, we should improve the understanding of misdiagnosis and reduce the occurrence of this phenomenon.
分析多层螺旋CT(MSCT)对儿童支气管异物误诊的原因,避免漏诊,实现合理应用。
回顾性分析我院儿科14例疑似儿童支气管异物误诊病例资料,探讨误诊原因。
14例误诊患儿中9例经MSCT检查未显示明显异物。经支气管镜术中发现异物5例,MSCT发现异物4例,痰痂4例,炎性肉芽1例,治疗后均痊愈。误诊原因有阈值选择错误、扫描层面起始于声门、成像误差等。
MSCT是一种对气道异物检查非常有价值的诊断方法,但存在一定局限性,应提高对误诊的认识,减少该现象的发生。