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

摘要：

【摘要】 目的 探讨多层螺旋CT(SCT)三维重建在食道异物的诊断,术前评估及术后判断并发症治愈的作用及意义。方法 回顾性分析我院2007年2月~2012年11月收治51例食道异物患者,行食道CT三维重建检查了解异物及其种类、位置、大小、数量、与食道壁关系、有无食道穿孔及周围感染等,选择手术方式,伴有并发症患者经治疗后复查判断患者恢复情况。结果 50例患者成功取出异物。根据CT检查结果分别采取纤维胃镜,硬食道镜,颈侧切开及胸外进路等不同的手术,穿孔及周围脓肿患者术后经综合治疗2周后,复查CT显示食道管壁周围软组织影或气泡影消失。结论 SCT三维重建检查在食道异物围手术期有很高的临床价值,表现在对异物诊断有很高的敏感性;为术前评估提供依据,有助选择最佳的手术方式;可为判断并发症治愈提供影像参考。

关键词: 多层螺旋CT, 食道, 异物, 术前评估, 并发症