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| The Application Value of 3D Virtual Fiberoptic Bronchoscopy Combined with VR Staining in Airway Foreign Bodies in Children |
| ZHOU Yi, ZHANG Xiuping, HE Jie, et al |
| Department of Radiology,the Third Hospital of Changsha, Changsha Hunan 410007 |
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Abstract 【Objective】To explore the application value of 3D virtual fiberoptic bronchoscopy combined with VR staining in airway foreign bodies in children. 【Methods】 A retrospective analysis was conducted on the CT and clinical data of 103 children with bronchial foreign bodies. To analysis the 3D Virtual fiberoptic bronchoscopy combined with VR staining technology and fiberoptic bronchoscopy in the exploration of airway foreign bodies after post-processing of the images.【Results】Among the 103 children, airway foreign bodies were located in the trachea and the left bronchus in 1 case, the left bronchus in 38 cases, the right bronchus in 63 cases, and bilateral in 1 case. 3D Virtual fiberoptic bronchoscopy combined with VR staining technology was used and 103 cases were diagnosed correctly. 3D Virtual fiberoptic bronchoscopy combined with VR technology has a good consistency with fiberoptic bronchoscopy in the exploration of airway foreign bodies (Kappa=0.934). Indirect signs: 98 cases of emphysema, 43 cases of obstructive pneumonia, 6 cases of atelectasis, 2 cases of subcutaneous emphysema and mediastinal emphysema, and 1 case of pleural effusion. 【Conclusion】 For airway foreign bodies, 3D Virtual fiberoptic bronchoscopy combined with VR staining is a safe and effective method, and can be used as the preferred examination method for patients with suspected airway foreign bodies.
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Received: 27 December 2024
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[1] 吴主强,丁山,章振华.儿童气道异物的64排螺旋CT诊断[J].南昌大学学报(医学版),2013,53(4):64-66.
[2] 赵德育,钱璐璐.气管支气管镜检查术在儿童气道异物诊治中的价值[J].中国小儿急救医学,2013,20(1):25-26.
[3] 王忠, 衣然, 洪晓纯, 等.64层螺旋CT扫描多种三维后重建技术在小儿气管、支气管异物诊断中的比较[J].中国CT和MRI杂志,2012,10(4): 24-25.
[4] SKOULAKIS C E, DOXAS P G, PAPADAKIS C E, et al. Bronchoscopy for foreign body removal in children. A review and analysis of 210 cases[J].Int J Pediatr Otorhinolaryngol,2000,53:143-148.
[5] BRENNER D J, HALL E J.Computed tomography: an increasing source of radiation exposure[J].Engl J Med,2007, 357(2):2277-2284.
[6] LEE E Y, GREENBERG S B, BOISELLE P M. Multidetector computed tomography of pediatric large airway diseases: State-of-the-art[J].Radiol Clin North Am,2011, 49(5):869-893.
[7] 李桂萍,安永胜.多层螺旋CT诊断小儿支气管异物的临床应用[J].实用放射学杂志,2012,28(7):1099-1100.
[8] LEE E Y, RESTREPO R, DILLMAN J R, et al. Imaging evaluation of pediatric trachea and bronchi: systematic review and updates[J].Semin Roentgenol,2012,47(2):182-196.
[9] BHAT K V, HEGDE J S, NAGALOTIMATH U S. Evaluation of computed tomography virtual bronchoscopy in paediatric tracheobronchial foreign body aspiration[J].J Laryngol Otol,2010,124(8):875-879.
[10] JUNG S Y,PAE S Y,CHUNG S M,et al.Three-dimensional CT with virtual bronchoscopy:a useful modality for bronchial foreign bodies in pediatric patients[J].Eur Arch Otorhinolaryngol,2012,269(1):223-228.
[11] APPLEGATE K E, DARDINGER J T, LIEBER M L, et al.Spiral CT scanning technique in the detection of aspiration of LEGO foreign bodies[J].Pediatr Radiol,2001, 31(12):836-840.
[12] HALILOGLU M, CIFTCI A O, OTO A, et al. CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration[J].Eur J Radiol,2003,48(2):188-192.
[13] SHIN S M, KIM W S, CHEON J E, et al. CT in children with suspected residual foreign body in airway after bronchoscopy[J].Am J Roentgenol,2009,192(6): 1744-1751.
[14] FOLTRAN F, BALLALI S, RODRIGUEZ H, et al. Inhaled foreign bodies in children: A global perspective on their epidemiological, clinical, and preventive aspects[J].Pediatr Pulmonol,2013,48(4):344-351. |
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. [J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(4): 727-729. |
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2025, Vol. 42 
