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首页> 外文期刊>Srpski Arhiv za Celokupno Lekarstvo >Ruptures of trachea and bronchi diagnosed by virtual bronchoscopy with multidetector computed tomography and fiberoptic bronchoscopy - advantages and shortcomings of methods
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Ruptures of trachea and bronchi diagnosed by virtual bronchoscopy with multidetector computed tomography and fiberoptic bronchoscopy - advantages and shortcomings of methods

机译：虚拟支气管镜检查具有多传输器的诊断的气象和支气管的破裂 - 方法和纤维支气管镜检查 - 方法的优点和缺点

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Introduction/Objective. Fiberoptic bronchoscopy often is too aggressive, which requires the use of other noninvasive diagnostic methods. The study presents research results on the diagnostic capabilities of virtual bronchoscopy with multidetector computed tomography and fiberoptic bronchoscopy in traumatic abnormalities of trachea and main bronchi. Methods. A total of 21 patients (six males and 15 females) at the ages of 11–82 years (50.65 ± 19.8) were studied by the methods of virtual bronchoscopy with multidetector computed tomography and fiberoptic bronchoscopy. The diagnostic capabilities of virtual bronchoscopy as compared to fiberoptic bronchoscopy were assessed by established criteria. Results. Ruptures of the trachea and/or bronchi were proven by fiberoptic bronchoscopy in 21 patients and by virtual bronchoscopy in 19 patients. The greatest frequency was reported for the post-intubation ruptures (15 patients, 71.42% with virtual bronchoscopy; 16 patients, 76.19% with fiberoptic bronchoscopy), followed by post-traumatic ruptures (three patients, 14.29%); ruptures of trachea and the left lower lobar bronchus as a result of an advanced neoplasm of the esophagus (one patient, 4.76%), diagnosed by both methods; mucosal erosion after instrumental manipulations (4.76%, after fiberoptic bronchoscopy). Conclusion. Achieved diagnostic accuracy in ruptures of trachea and bronchi by virtual bronchoscopy is 90.47% and by fiberoptic bronchoscopy it is 100%. In terms of localization, shape and size, almost complete correspondence of changes with those of fiberoptic bronchoscopy was found. The presence of abundant secretion in virtual bronchoscopy may be interpreted incorrectly and efficiency of virtual bronchoscopy decreases.
机译：介绍/目标。光纤支气管镜检查通常过于侵略性，这需要使用其他非侵入性诊断方法。该研究提出了对虚拟支气管镜检查的诊断能力与多校长计算机断层摄影和纤维支气管镜检查的研究结果，在气管和主支气管的创伤异常中。方法。通过虚拟支气管镜检查和纤维支气管镜检查的虚拟支气管镜检查的方法研究了11-82岁的患者（50.65±19.8岁）的21例（六名男性和15名女性）。与纤维支气管镜检查相比，虚拟支气管镜检查的诊断能力由既定的标准评估。结果。通过纤维支气管镜检查在21名患者中和19例患者虚拟支气管镜检查纤维支气管镜检查破裂。据报道，预插管后破裂（15名患者，虚拟支气管镜，71.42％; 16名患者，纤维支气管镜检查76.19％），其次是创伤后破裂（三名患者，14.29％）;由于食道的晚期肿瘤（一名患者，4.76％），由两种方法诊断出来的气管和左下叶支气管的破裂;粘膜侵蚀仪器操作后（4.76％，纤维支气管镜检查后）。结论。通过虚拟支气管镜检查实现气管和支气管破裂的诊断准确性为90.47％，纤维支气管镜检查是100％。就本地化，形状和尺寸而言，发现了与纤维支气管镜检查的变化几乎完全对应。虚拟支气管镜检查中的丰富分泌的存在可能被解释错误，并且虚拟支气管镜检查的效率降低。

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