呼吸道狭窄程度与患有血管环的婴儿呼吸困扰之间的关联
Koji Nakae1, Kentaro Ueno1, Yasuhiro Okamoto1
1Pediatrics, Kagoshima University Hospital, Kagoshima, JPN.
Cureus
|November 15, 2023
概括
血管环可以导致呼吸困扰,即使在产前没有诊断出来. 在CT扫描上,气道压缩的程度,特别是前后直径狭窄,与呼吸困难的严重程度有关.
科学领域:
- 医疗成像医学成像
- 儿童心脏病学 儿童心脏病学
- 胸部外科手术 胸部外科手术
背景情况:
- 增加了血管环的产前诊断.
- 一些血管环病例仍然没有症状.
- 在血管环中缺乏确定的呼吸困扰指标.
研究的目的:
- 确定气道压缩程度与血管环中的呼吸困扰之间的关系.
- 评估与临床表现相关的对比增强CT发现.
主要方法:
- 对9名血管环患者的回顾性研究 (2010年7月 - 2019年12月).
- 临床特征分析:产前诊断,血管环类型,心脏病,手术.
- 通过对比增强CT (轴横截面测量) 进行气道评估.
- 使用SPSS版本25.0.0进行统计分析.
主要成果:
- 在8名患者中,有5名患者出现呼吸困难.
- 呼吸困扰患者的产前诊断率较低 (p=0.04).
- 较小的前后直径狭窄与呼吸困难相关 (p=0.03).
结论:
- 增强对比度的CT是评估血管环的一个有价值的工具.
- 在CT上前后气道狭窄的程度与呼吸障碍相关.
- CT测量可以帮助预测血管环患者的呼吸困扰.
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