胸腺肿瘤的CT诊断分析

The CT Diagnosis of Thymic Tumors

目的:探讨胸腺肿瘤的CT诊断应用价值。方法:对我院手术治疗并经过病理确诊的胸腺肿瘤24例患者的CT检查进行回顾性分析。结果:CT诊断结果为非侵袭性胸腺瘤9例,侵袭性胸腺瘤15例。非侵袭性胸腺瘤一般为直径2-6mm,均有非常完整的包膜,无邻近组织结构的侵犯;侵袭性胸腺瘤多为直径5-8mm,常常累及邻近的纵膈结构。侵袭性胸腺瘤常可见心包增厚和心包积液。术中及术后病理诊断结果为非侵袭性胸腺瘤7例,侵袭性胸腺瘤17例。结论:通过CT检查的结果可以有效的判断胸腺肿瘤是侵袭性还是非侵袭性,对患者手术计划的制定及预后判断有着重要的应用价值。

Objective： To investigate the CT diagnosis of thymic tumors. Method： 24 patients, CT ex- amination of the surgical treatment in our hospital and pathological diagnosis of thymic tumors were analyzed retrospectively. Result： The results of the CT diagnosis of non-invasive thymoma was 9 cases, 15 cases of invasive thymoma. The non-invasive thymoma diameter of 2 - 6mm, were intact membrane, adjacent to the organizational structure violations; invasive thymoma multi-diameter, 5 - 8mm, often involving the adjacent mediastinal structures. Invasive thymoma is often visible pericardial thickening and pericardial effusion. Intraoperative and postoperative pathological diagnosis seven cases of non-invasive thymoma, 17 cases of inva- sive thymoma. Conclusion： The thymie tumors can be effectively judged the results of the CT examination, the development and prognosis of patients with surgical planning