膈肌包虫囊肿  

Intradiaphragmatic Hydatid Cyst

作　　者：孙强生[1] 张静英 程国运 杨家政 

机构地区：[1]新疆维吾尔自治区人民医院放射科,新疆石河子医学院附属医院放射科,新疆奎屯人民医院放射科

出　　处：《实用放射学杂志》1995年第7期402-404,389,共4页Journal of Practical Radiology

摘　　要：本文报告了２６例膈肌包虫囊肿的Ｘ线表现，均经手术病理证实，其Ｘ线表现分为单纯性包虫囊肿及破裂感染的包虫囊肿两类，单纯包虫囊肿表现为膈肌局限性膨出；带蒂的突向胸腔的卵园形阴影，及合并囊肿钙化。破裂感染的包虫囊肿表现为囊肿内“月牙征”，“水上百合”或“气液平”；合并胸膜及肺内感染或肺包虫囊肿，及类似单纯性胸腔积液。讨论了常规Ｘ线，ＣＴ，超声的影象诊断。并指出多数膈肌包虫囊肿位于右侧膈肌，约８倍于左膈，因此，左膈的一些病变，一般不应考虑包虫囊肿。The roentgengraphical manifestations of 26 cases of intradiaphragmatic hydatid cyst con-firmed by operation and pathology were reported. This cysts could be dividedinto two types:intact and rup-tured. Intact hydatid cyst demonstrated as a local protruding shadow of diaphragm, an oval homogenous shad-ow extended toward pleural cavity with stem linking up to diaphragm,or calcification of hydatidcyst.Ruptured type might present a“crescent sign,”“water lily sign”,or“air一fluid level” withinthe cyst,the complicated infection of lung or pleura ,or similar to pleural effusion,X一ray, CT and ultrasonic diagnosiswere discussed.Most of intradiaphragm hydatid cyst in our series were found within right leaf of diaphragm,and about eight times as common as within left leaf. Therefore, hydatid cyst should not be considered firstly,when some lesions present in left leaf of diaphragm.

关 键 词：膈肌 包虫囊肿 X线 CT 超声波诊断 

分 类 号：R816.4[医药卫生—放射医学] R532.32[医药卫生—临床医学]