14例先天性胸骨后膈疝薄层螺旋CT扫描诊断与鉴别诊断

Morgagni hernia thin layer spiral CT scan in the diagnosis of value analysis(a report of 14 cases)

目的探讨先天性胸骨后膈疝薄层螺旋CT扫描诊断价值。方法收集我院2006年6月～2012年10月接诊的14例先天性胸骨后膈疝患者的影像资料进行回顾性分析,所有病例均经消化道造影或外科手术证实。其中男9例,女5例,年龄15 d～32岁。结果 14例患者中左侧膈疝3例,右侧膈疝9例,双侧膈疝2例。疝内容物为胃2例,大网膜2例,结肠4例,肝脏6例。膈上胸骨后心膈角区半圆形密度均匀增高影7例,囊状含液气平面4例,多囊状改变3例。结论先天性胸骨后膈疝行薄层螺旋CT扫描能够早期诊断,指导临床治疗,是提高诊断率、减少误诊的最可靠手段。

Objective To explore the value of spiral CT scanning in the diagnosis of congenital diaphragmatic hernia of sternum. Methods Collected in our hospital from 2006 June to 2012 October 12 cases of Morgagni hernia patients imaging data were retrospectively analyzed after operation, angiography or surgery gastrointestinal confirmed. There were 9 male, 5 female, age-32 years old in 15 days. Results Three cases of 14 patients with left diaphragmatic her- nia, 9 cases of right diaphragmatic hernia, 2 cases of bilateral diaphragmatic hernia. The hernia contents into the stom- ach in 2 cases, 2 patients with greater omentum, 4 cases of colon, 6 cases of liver. Diaphragm cardiophrenic substernal angle semicircle uniform density increased and shadow in 7 cases, cystic fluid containing gas plane in 4 cases, cystic change in 3 cases. Conclusion Early diagnosis of diaphragmatic hernia with thin slice CT scanning can be congenital retrosternal, guiding clinical therapy, is to improve the diagnosis rate, reduce the most reliable means of misdiagnosis.