论文部分内容阅读
目的：评价 Ｘ 线检查在气管弥漫性狭窄诊断中的价值和不同原因所致气管狭窄的 Ｘ 线特征。方法： 收集了１２ 例资料完整的气管弥漫性狭窄，对其临床和 Ｘ 线表现进行回顾性分析。包括３ 例坏死性肉芽肿；３ 例复发性多软骨炎；１ 例放疗后气管狭窄；１ 例慢性纵隔炎；１ 例鳞状细胞癌；３ 例剑鞘气管。结果：不同原因引起的气管弥漫性狭窄有各自特征性的一组临床表现，虽然 Ｘ线共同特点为气管弥漫性狭窄，但狭窄好发部位，细节改变，其它易犯器官及其表现明显不同。结论：选择性 Ｘ 线检查仍为发现和确定气管狭窄的一种基本方法，详细的 Ｘ 线表现，结合临床基本上可以做出鉴别诊断。
OBJECTIVE: To evaluate the value of X-ray examination in the diagnosis of diffuse stenosis of the trachea and the X-ray features of tracheal stenosis caused by different causes. Methods: Twelve cases of complete tracheal diffuse stenosis were collected, and the clinical and radiographic findings were retrospectively analyzed. Including 3 cases of necrotizing granuloma; 3 cases of recurrent polychondritis; 1 case of tracheal stenosis after radiotherapy; 1 case of chronic mediastinitis; 1 case of squamous cell carcinoma; 3 cases of scabbard trachea. Results: Trachea-diffuse stenosis caused by different causes had their own characteristic clinical manifestations. Although X-ray was commonly characterized by diffuse tracheal stricture, the site of stenosis and detail changes, and the other organs susceptible to committing and their manifestations were significantly different. Conclusions: Selective X-ray examination is still a basic method to find and determine tracheal stenosis. The detailed X-ray findings can be used to make differential diagnosis based on clinical findings.