Objective: To evaluate the factors affecting the distribution of bronchial foreign bodies and the occurring of complications. Methods: 523 cases of bronchial foreign body, which were confirmed by bronchoscope, were retrospectively analyzed. All of the cases were examined with multi-detector CT scanner before bronchoscope. Then the CT datas were reconstructed with minimum intensity projection(MinP) and multiple planar reconstruction(MPR). The length, the width, and average size of foreign bodies were measured on MPR. Different characteristics of left and right foreign bodies and its complications including obstructive emphysema and pneumonia were respectively compared. The affecting factors of bronchial foreign bodies distribution and its complications were obtained. Results: Compared with left bronchial foreign bodies, right bronchial foreign bodies had bigger width and average size, and the difference was statistically significant(P<0.05), while the age, visiting time, sex ratio, the length and the types of foreign bodies had no difference. Compared with no obstructive emphysema group, obstructive emphysema group had younger age, longer visiting time, and more food foreign bodies(P<0.05), while the sex ratio, the length, the width, the average size and the types of foreign bodies had no difference. Compared with no pneumonia group, pneumonia group had older age, longer visiting time, bigger length and average size(P<0.05), while sex ratio and foreign bodies types and the width had no difference. Conclusion: The width and average size of foreign bodies are affecting factors of bronchial foreign bodies distribution. The age, visiting time, the types of foreign bodies, the length, the width and the average size of foreign bodies affect the occurring of main bronchial foreign body complications. |
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