关键词: 多层螺旋CT, 食道, 异物, 术前评估, 并发症

Abstract:

【Abstract】 Objective To investigate the role and significance of the multi-slice CT 3D recons-truction in perioperative esophageal foreign body. Methods In a retrospective review of 51 cases in our hospital from Feb..2007 to Nov..2012,.the SCT 3D reconstructions were used to detect the foreign body and its description, location, size, quantity, relationship with esophagus, esophageal perforation and infection..Based on these,.the optimal surgical treatment were selected and complications were diagnosed by the multi-slice CT 3D reconstruction. Results Fifty patients were successfully removed the foreign body through fiber gastroscopy,.hard esophagoscopy,.lateral neck incision and chest surgical approach,.respectively,.according to the images of the SCT scan..The abnormal shadows around esophagus disappeared under the guidance of multi-slice CT 3D reconstruction during the treatment of the patients with perforation of esophagus. Conclusion SCT 3D reconstruction has high clinical value for the diagnosis and treatment esophageal foreign body,.including high sensitivity for finding foreign body,the operation choice and the directions for diagnosing and treating complications.

Key words: SCT Esophagus, Foreign body, Preoperative assessment, Complications