改进三分区法对纵隔病变的应用探讨  

Investigation and application of three compartments of anatomy in the diagnosis of mediastinal lesions

作　　者：张晓[1] 刘贞[2] 王博江[1] 宋振龙[1] 刘玉元[1] 

机构地区：[1]滨州市人民医院放射科,滨州市256610 [2]邹平县人民医院胸外科

出　　处：《滨州医学院学报》2005年第3期181-182,共2页Journal of Binzhou Medical University

摘　　要：目的探讨纵隔三分区法在占位性病变诊断中的使用价值。方法对103例手术病理证实的纵隔占位性病变影像学表现进行分析,应用三分区法,了解各种病变在各分区的分布情况。结果按发病率排列:前上为淋巴类病变、胸腺肿瘤、畸胎类肿瘤、胸内甲状腺肿等;前下为心包肿瘤、畸胎类肿瘤等;后纵隔为淋巴类病变、食管肿瘤、神经源性肿瘤、动脉瘤等。结论此方法简便实用,定位准确,利于定性诊断。Objective To investigate three compartments of mediastinal anatomy in the diagnosis of space-occupying lesions.Methods X-ray and CT images of 103 mediastinal lesions confirmed by surgery or/and pathology retrospectively studied.The CT manifestation of all cases were all analysed.Results Using mediastinal three-compartments protocol and according to the occupying lesions,anterio-superior mediastinal lesions were lymphadenovarix,thymoma,teratoblastoma and intrathyroma,etc.In anterio-inferior mediastinum,heat tumors,fatty tumor,teratoblastoma were found successively.There were lymphadenovarix,esophageal tumors,neurogenic tumors,aneurysms and so on.Conclusion The results suggested that this protocol was more terse and practical than others in the diagnosis of space-occupying lesions.

关 键 词：纵隔病变 影像诊断 分区 

分 类 号：R814[医药卫生—影像医学与核医学]