Diagnosis of Tracheo-Esophageal Fsitula Three Dimensional Virtual Bronchoscope: Case Report

後天氣管-食道廔管病變食道癌較常見的併發症，偶爾亦發生在支氣管腫瘤，異物吸入、手術和放射治療後所引起的發炎症。臨床上是以反覆肺炎和容易梗塞為主要表現，傳統檢查方式是利用硫酸鋇和水溶性顯影劑做食道攝影，還有光纖支氣管鏡，以上各項都有其缺點。本文以兩位疑似氣管-食道樓管的食道癌病患作為對照，來探討三度虛擬支氣管造影術在氣管-食道管影像的診斷價值，和仍有待改善之處。(慈濟醫學 2003; 15:63-67)

關鍵字

T-E 廔管；氣管-食道廔管；虛擬支氣管鏡；食道癌

並列摘要

Acquired T-E (tracheo-esophageal) fistula is a complication of esophageal cercinoma. Esophagography with barium sulfate, or water soluble contrat medium and fiberoptic bronchoscopy are the traditinoal methods for the diagnosis of T-E fistula. In out department, the virtual bronchoscpy reconstruction technique has become a useful non-invasive method to provide anatomical information on the airway. We present two male patients (patient 1 & patient 2) of suspected T-E fistula formation with underlying primary and secondary esophageal carcimoma. They were diagnosed with thin slice spiral computer tomography (CT) with 3D virtual bronchoscopic reconstruction. Orifice of T-E fistula was noted in patient 1 but was not in patient 2. The follow-up fiber brochoscopy study and clinical outcome support our results. We find that virtual images reconstructed by computer offer satisfactory resolution.(Tzu Chi Med J 2003; 15:63-67)

並列關鍵字

T-E fistula ； tracheo-esophageal fistula ； virtual bronchoscopy ； esophageal carcinoma

國際替代計量

Diagnosis of Tracheo-Esophageal Fsitula Three Dimensional Virtual Bronchoscope: Case Report

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