期刊文献+

纵隔内气管旁含气囊肿的CT诊断 被引量:1

CT appearance of para-tracheal air cyst
下载PDF
导出
摘要 目的探讨纵隔内气管旁含气囊肿(PACM)的CT表现及鉴别诊断,提高对此病的认识。方法 103例PACM的CT轴位图像及部分重建图像进行回顾性分析,观察PACM部位、大小、形态、边缘及内部结构等并进行分型。结果 103例PACM,平扫87例,增强16例,均位于胸廓入口水平气管旁,以气管旁右侧6~9点区多见约98%(101/103),左侧气管旁及双侧气管旁少见、仅1%(1/103)。单侧单房占82.5%(85/103),单侧多房占16.5%(17/103),双侧型仅1例。CT表现为卵圆形或不规则形囊状含气密度影,囊壁菲薄,大小不一,边缘清晰,增强后囊壁可见中等均匀强化。PACM与气管及食管关系密切,21.4%与气管相通(22/103),14.6%相应气管局部略扩大变形(15/103),仅1例出现食管移位(1/103)。结论 PACM典型表现为胸廓入口水平气管旁含气囊腔,应注意勿误诊为其它病变。 Objective To assess the helical CT appearance of para-tracheal air cyst (PAC). Methods CT of 103 patients with PAC was reviewed. The location, size, shape, margin and internal structure of PAC were observed. Results The 103 PAC included unilateral single-cell (85), unilateral multi-cells (17), and bilateral single-cell (1) cysts located in the 6-9 o'clock para-tracheal position at the level of thoracic inlet. Most were on the right (101) with one on the left and one on both sides of the trachea. The oval or irregular air-containing cysts had contrast-enhancing thin walls and septa (40). The PAC communicated with the trachea in 22/103 with tracheal lumen dilatation (15) or esophageal displacement (1). Conclusion The CT features of PAC include air-containing cyst in close relationship with the trachea at the level of thoracic inlet.
出处 《影像诊断与介入放射学》 2012年第2期86-89,共4页 Diagnostic Imaging & Interventional Radiology
关键词 气管 囊肿 体层摄影术 X线计算机 Trachea Cyst Tomography, X-ray computed
  • 引文网络
  • 相关文献

参考文献15

  • 1陈宏猷 王虎 李涛 等.气管憩室1例报道.实用放射学杂志,1993,9(1):52-53.
  • 2Horton KM, Horton MR, Fishman EK. Advanced visualization of airway with 64-MDCT:3D mapping and virtual bronchoscopy. AJR, 2007,189 : 1387-1396.
  • 3Tanaka H, Mori Y, Kurokawa K, et al. Paratracheal air cysts communicating with the trachea: CT findings. Thorac Imaging, 1997,12 : 38-40.
  • 4Mackinnon D. Tracheal diverticula. Pathol Bacteriol, 1953,65: 513-517.
  • 5Goo JM, Im JG, Ahn JM, et al. Right paratracheal aircysts in the thoracic inlet : clinical and radiologic significance. A JR, 1999, 173 : 65.
  • 6吴国庚,潘纪戍,刘甫庚,陈起航,周诚.气管旁囊肿的CT表现[J].临床放射学杂志,2003,22(8):670-673. 被引量:11
  • 7Infante M, Mauavelli F, Valente M, et al. Tracheal diverticulum: a rare cause and consequence of chronic cough. Eur J Surg, 1994, 160:315-316.
  • 8Won-dong K, Sean HL, Harvey OC, et al. The association between small airway obstruction and emphysema phenotypes in COPD. Chest, 2007,131 : 137-213.
  • 9Reginald G. "Saber-Sheath"trachea:relation to chronic obstructive pulmonary disease. Am J Roent genol, 1978,130:441-445.
  • 10张传玉,王军伟.胸廓入口区气管旁含气囊肿的CT及临床表现[J].青岛大学医学院学报,2009,45(6):501-504. 被引量:5

二级参考文献24

  • 1夏黎明.胸部少见先天性疾病[A].周燕发 主编.胸部X线CTMRI诊断学[C].北京:科学出版社,2000.460-473.
  • 2INFANTEM, MAUAVELLI F, VALENTEM, et al. Tracheal diverticulum: a rare cause and consequence of chronic cough[J]. EurJ Surg, 1994,160:315-316.
  • 3TANAKA H, MORI Y, KUROKAWA K, et al. Paratracheal air cysts communicating with the trachea: CT findings[J]. Thorac Imaging, 1997,12 :38-40.
  • 4GO0 J M, IM J G, AHN J M, et al. Right paratracheal air cysts in the thoracic inlet: clinical and radiologic significance [J]. A JR, 1999,173:65.
  • 5COLLINS M M, WEIGHT R G. Poterior tracheal wall diverticula..an expected finding[J]. Laryngol Otol, 1997,111 : 663- 665.
  • 6MORROS J F, KOSKI A, JOHNSON L C. Spirometrie standard for healthy nonsmoking adult [J]. Am Rev Respir Dis, 1971,163:57-67.
  • 7SAKAI F, GAMSU G, IM J, et al. Pulmonary function abnormalities in patients with CT-determined emphysema[J]. Comput Assist Tomogr, 1987,11 : 963 968.
  • 8MACKINNON D. Tracheal diverticula[J]. Pthol Bacteriol, 1953,65:513-517.
  • 9WON-DONG K, SEAN H L, HARVEY O C, et al. The association between small airway obstruction and emphysema phenotypes in COPD[J]. Chest, 2007,131:1372-1378.
  • 10REGINALD G. "Saber-Sheath" trachea: relation to chronic obstructive pulmonary disease[J]. Am J Roentgenol, 1978, 130:441 -445.

共引文献46

同被引文献1

引证文献1

二级引证文献1

相关主题

;
使用帮助 返回顶部