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目的评价CT重建技术在儿童Poland综合征影像学诊断和分级中的价值。方法回顾性分析10例儿童Poland综合征患儿的临床资料,比较其影像学检查结果。结果 10例患儿中年龄最大者11岁10个月,最小者8个月。患儿均因胸廓外观异常就诊,无其他心脏、呼吸、肾脏和脊椎症状。CT平扫均可看到一侧胸大肌和胸小肌完全或部分缺失,4例患儿CT平扫及重建结果显示合并出现同侧胸壁Ⅱ~Ⅳ肋骨发育异常。结论 CT平扫结合三维重建能为检出和诊断儿童Poland综合征提供全面准确的影像信息,本研究通过影像表现提出的分级方法能够为儿童Poland综合征临床治疗方案及适宜治疗时期的选择提供必要依据。
Objective To evaluate the value of CT reconstruction in the diagnosis and classification of pediatric Poland syndrome. Methods The clinical data of 10 children with Poland syndrome were retrospectively analyzed and their imaging findings were compared. Results Among the 10 children, the oldest was 11 years and 10 months, and the smallest was 8 months. Children with unusual thoracic appearance, no other heart, breathing, kidney and spine symptoms. CT plain scan can be seen on one side of the pectoralis major and pectoralis minimum complete or partial, 4 cases of children with CT scan and reconstruction results showed the ipsilateral chest wall Ⅱ ~ Ⅳ rib dysplasia. Conclusion CT scan combined with three-dimensional reconstruction can provide comprehensive and accurate image information for the detection and diagnosis of children’s Poland syndrome. The grading method proposed by this study can provide necessary treatment options and appropriate treatment period for children with Poland syndrome in accordance with.