心膈角区病变的CT诊断与鉴别诊断  

CT Diagnosis and Differential Diagnosis of the Diseases in Cardiophrenic Space

作　　者：张昊凌[1] 周俊[2] 张志勇[1] 詹松华[2] 卢韶华[3] 

机构地区：[1]复旦大学附属中山医院放射科,上海200032 [2]上海中医药大学附属曙光医院放射科 [3]复旦大学附属中山医院病理科

出　　处：《实用放射学杂志》2011年第2期206-210,共5页Journal of Practical Radiology

摘　　要：目的探讨心膈角区病变的CT表现以提高对该病的认识水平。方法回顾性分析经手术病理证实、临床和CT资料完整的心膈角区病变15例。结果心膈角病变8例，心膈角区受累病变7例，其中右心膈角区11例（占71．4％），左心膈角区4例（占28．6％）。囊性13例（占86．7％），其中薄壁囊肿11例均为良性病变，囊壁附实性结节2例，良、恶性病变各1例；实性2例（占13．3％），分别为侵袭性胸腺瘤和血肿。结论CT检查在心膈角区病变的诊断与鉴别诊断中具有重要价值。Objective To investigate CT features of the diseases in cardiophrenic space, so that to improve the imaging diagnostic abilities of these diseases. Methods Imaging features of 15 patients with lesions in cardiophrenic space confirmed by surgery and pathology were reviewed retrospectively. Results The lesions in 8 of 15 cases originated from the cardiophrenic space, and in the remaining cases involved the cardiophrenic space. The lesions in 11 cases （71.4%） were located in the right cardiophrenic space, and the rest 4 （28.6%） in the left side. 13 cases （86.7 % ） were cystic lesions, 11 of which were benign thin--wall cysts, and the other two （1 benign, 1 malignant） had solid nodules attatched to cystic wall. Two cases （13.3%） were solid lesions proved to invasive thymoma and hematoma, respectively. Conclusion CT scan is of great value for the diseases in the cardiophrenic space in diagnosis and differential diagnosis.

关 键 词：胸部 体层摄影术 X线计算机 心包囊肿 胸腺囊肿 

分 类 号：R542.1[医药卫生—心血管疾病] R814.42[医药卫生—内科学]