多层螺旋计算机断层扫描能够独立预测疑似由支气管异物引起的支气管炎（肺炎）患儿的支气管镜检查结果。

Multislice spiral computed tomography can independently predict the bronchoscopy results of children with bronchitis (pneumonia) suspected caused by bronchial foreign bodies.

作者信息

Guo Zhiyong, Li Liang, Cao Bo, Liu Guangping

机构信息

Department of Otorhinolaryngology, Tianjin Children's Hospital, Tianjin University Children's Hospital, Tianjin, China.

出版信息

Transl Pediatr. 2020 Oct;9(5):662-668. doi: 10.21037/tp-20-300.

DOI:10.21037/tp-20-300

PMID:33209729

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7658760/

Abstract

BACKGROUND

Multislice spiral computed tomography (MSCT) playsa vital role in the diagnosis of bronchial foreign bodies in children. Bronchitis (pneumonia) can be caused by bronchial foreign bodies in children, which need to be diagnosed and treated by bronchoscopy. To understand the application of MSCT in children with bronchitis (pneumonia) suspected to be caused by bronchial foreign bodies, the clinical data of 162 children were analyzed retrospectively.

METHODS

The clinical data of 162 children with bronchitis (pneumonia) suspected to be caused by bronchial foreign bodies were collected, including sex, age, course of the disease, auscultation, chest X-ray, MSCT, bronchoscopy, among many others. Univariate logistic regression analysis analyzed the above other items, taking the finding of foreign bodies in bronchoscopy as the outcome index. The key variables of univariate analysis are included in multivariate logistic regression analysis to determine the independent influencing factors of bronchoscopy results.

RESULTS

Among the 162 patients, 70.4% were male, with the largest proportion of children aged 1-2 years (55.6%). The course of the disease of 98 cases (60.4%) was over14 days. A total of 111 cases (68.5%) showed positive auscultation, 110 cases (67.9%) showed positive chest fluoroscopy, 155 cases (95.7%) showed bronchial foreign bodies with MSCT, and the foreign bodies of 140 cases (86.4%) were removed by bronchoscopy. Univariate analysis showed that the course of the disease, chest auscultation, and MSCT were all correlated with the results of bronchoscopy. However, multivariate analysis showed, after adjusting the two factors of chest auscultation and chest fluoroscopy, the course of the disease (OR =6.01, 2.36-15.29, P<0.001) and MSCT (OR =95.64, 5.62-1,628.40, P<0.002) could still independently predict the results of bronchoscopy.

CONCLUSIONS

MSCT can independently predict the results of bronchoscopy in children with bronchitis(pneumonia) suspected to be caused by bronchial foreign bodies.

摘要

背景

多层螺旋计算机断层扫描（MSCT）在儿童支气管异物诊断中起着至关重要的作用。儿童支气管炎（肺炎）可由支气管异物引起，需通过支气管镜进行诊断和治疗。为了解MSCT在疑似由支气管异物引起的儿童支气管炎（肺炎）中的应用，对162例儿童的临床资料进行回顾性分析。

方法

收集162例疑似由支气管异物引起的支气管炎（肺炎）儿童的临床资料，包括性别、年龄、病程、听诊、胸部X线、MSCT、支气管镜检查等多项内容。单因素逻辑回归分析对上述其他项目进行分析，以支气管镜检查中发现异物作为结局指标。将单因素分析的关键变量纳入多因素逻辑回归分析，以确定支气管镜检查结果的独立影响因素。

结果

162例患者中，男性占70.4%，1 - 2岁儿童比例最大（55.6%）。9 Eight cases (60.4%) had a disease course of over 14 days. A total of 111 cases (68.5%) had positive auscultation, 110 cases (67.9%) had positive chest fluoroscopy, 155 cases (95.7%) showed bronchial foreign bodies with MSCT, and 140 cases (86.4%) had foreign bodies removed by bronchoscopy. Univariate analysis showed that the disease course, chest auscultation, and MSCT were all correlated with the results of bronchoscopy. However, multivariate analysis showed that after adjusting for the two factors of chest auscultation and chest fluoroscopy, the disease course (OR = 6.01, 2.36 - 15.29, P < 0.001) and MSCT (OR = 95.64, 5.62 - 1,628.40, P < 0.002) could still independently predict the results of bronchoscopy.