心脏、心包包虫病的X线诊断(附5例报告)

Hydatid Disease of Heart and Pericardium

本文报告心脏(心室和心房)包虫病、心脏心包包虫病、化脓性包虫心包炎等5例心脏、心包包虫病。本病的X线检查殊为重要,本组5例凭借X线检查等客观资料的具体分析,术前均做出了正确的诊断。超声学检查特点能突出显示囊性或实性肿物。X线和超声学检查的结合应视为诊断本病的首选方式,根据诊断需要与可能还应重视心血管造影和电影摄影、数字减影(DSA)、电算体层(CT)、磁共振(MR)等先进影象技术的应用,以发现与证实更多疑难的病例。

Hydtid disease of heart and pericardium is rare. Five cases are reported in this article including hydatid disease of the heart (ventricle and atria), pericardium,both heart and pericardium,and purulent hydatid pericarditis. The X-ray examination is very important for diagnosis. In this series,correct diagnosis was made before the operation in all cases. According to the concrete analysis of the X-ray feature and the echonologic examination,obviously, the nature of the mass can be demonstrated (cystic or solid). The combination of X-ray and echonologic examination are the best method for the diagnosis of hydatid disease. We ought to stress the use of the forerunner imaging techniques such as cardioangiography and cinecardiography, DSA, CT, MR etc. for discovering and proving more difficult eases of the cardiac and Dericardiae echinococcosis.