CT对左心膈角区病变的诊断价值（附42例分析）  

Diagnostic value of CT for the lesions at the region of left cardio-diaphragmatic angle： an analysis of 42 cases

作　　者：孙琼芳[1] 涂蓉[1] 尤晓光[1] 李治群[1] 伍保忠[1] 刘旭东[1] 

机构地区：[1]海南医学院附属医院放射科CT室,海南海口570102

出　　处：《实用放射学杂志》2012年第4期533-536,共4页Journal of Practical Radiology

摘　　要：目的 探讨CT对左心膈角区病变检出与显示优势.方法 收集本院左心膈角区病变42例,临床和X线、CT图像资料完整,均经手术、病理证实,对 X线和CT图像进行分析,评价两者对左心膈角区病变的显示情况.所有病例均行X线平片和CT平扫.结果 CT与DR对于左心膈角区病变检出率χ2检验比较,P=0.002,差异有统计学意义.CT与DR对于左心膈角区病变显示清晰率、较清晰率、不清率分别是94.2%、5.8%、0%,69.0%、14.3%、16.7%.结论 对比X线,CT对左心膈角病变的检出率更高,在左心膈角区病变的诊断与鉴别诊断中具有重要价值.Objective To explore the advantage of CT in detecting the lesions at the region of left cardio diaphragmatic angle. Methods 42 cases with the lesions at the region of left cardio-diaphragmatic angle, proved by surgery and pathology,and clinical data, X ray and CT images were completely collected. The detecting values of X ray and CT for the lesions at the region of left cardio diaphragmatic angle were evaluated. Results The detecting rates of CT and X-ray for the lesions at the region of left cardio-diaphragmatic angle tested by x2 analysis showed that the difference was statistically significant between CT and X ray（P=0. 002）. The pro portions of CT and X ray in demonstrating the lesions clearly, moderately and unclearly were 94.2% vs 69.0%, 5.8% vs 14.3%, and 0 % vs 16.7 %, respectively. Conclusion Contrast to X-ray,CT examination has more important value in diagnosis and differenti al diagnosis of the lesions at the region of left cardio-diaphragmatic angle.

关 键 词：胸部 心膈角 体层摄影术 X线计算机 

分 类 号：R541[医药卫生—心血管疾病] R814.42[医药卫生—内科学]