Effect of multi-slice computed tomography on typing and staging of bronchiolitis obliterans in children
10.3969/j.issn.1006-5725.2017.03.037
- VernacularTitle:多层螺旋CT对婴幼儿闭塞性细支气管炎分型和的应用价值
- Author:
Junxing CHEN
;
Qingshan HONG
;
Xiaoli WANG
;
Yongjia FU
- Keywords:
Bronchiolitis obliterans;
X-ray;
Tomography;
Typing;
Staging
- From:
The Journal of Practical Medicine
2017;33(3):470-472
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of multi-slice computed tomography (MSCT) on the typing and staging of bronchiolitis obliterans (BO) in children.Methods Twenty-eight BO patients were recruited and underwent X-ray and MSCT from August 2012 to August 2015.The classification of MSCT signs and radiological manifestations in different stages of BO were discussed.Results Mosaic sign and bronchial wall thickening appeared in all cases and pulmonary atelectasis in 6 patients.MSCT signs were divided into 18 cascs of simple type and 10 of pneumonic type,respectively.Radiological imaging undergone after treatment for 2 ～ 4 weeks indicated that 20 patients turned normal,but 8 patients to chronic stage,including pulmonary interstitial fibrosis (7 cases),bronchoiectasis (6 cases),calcification in bronchial distal (3 cases) and pleural adhesions (2 cases).Conclusion Mosaic sign is a distinctive MSCT manifestation for BO in early phase,and CT typing and staging contribute to guiding the treatment.
