原发纵隔囊肿影像学表现.pdfVIP

实用放射学杂志2007年12月第23卷第 12期 J Pract Radiol，Dec．2007，Vo1．23，No．12 原发纵隔囊肿影像学表现 张 蕴，杜红文，付和睦，牛 刚 (西安交通大学医学院第一附属医院影像中心，陕西 西安 710061) 摘要：目的 探讨原发纵隔囊肿影像表现特征，提高影像诊断的准确率。方法 回顾性分析经手术病理证实且资料完整的42 例原发纵隔囊肿的影像学表现。所有病例均摄胸部后前位与侧位片，胸部CT平扫29例，其中15例行增强扫描，胸部 MRI平扫6 例。观察病变的部位、大小、形态、密度(信号)、边缘、壁及其厚度、邻近结构。每一病种均分为影像征象典型与不典型2类。结果 病变位于前纵隔28例，中、后纵隔各7例。上纵隔9例，中纵隔24例，下纵隔9例。支气管囊肿9例，囊性淋巴管瘤4例，胸腺囊 肿11例，心包囊肿5例，成熟性囊性畸胎瘤 13例。影像征象典型38例，不典型4例。结论 90％的纵隔囊肿，根据CT、MRI显示 的病变部位与内部密度、信号特征，可做出正确的影像诊断；不典型者确诊仍依靠手术病理。 关键词：纵隔；囊肿；体层摄影术，x线计算机；磁共振成像 中图分类号：R564：R814．42；R445．2 文献标识码：A 文章编号：1002—1671(2007)12—1614—04 Imaging Features of Primary Mediastinal Cysts ZHANG Yun，DU Hong—wen，FU He—mu，NIU Gang (Department of Radiology，the First Affiliated Hospital， Medical College of Xi’an Jiaotong University，Xi’an 7 10061，China) Abstract：Objective To study the imaging features of primary mediastinal cysts，and to improve the diagnostic ability of these disea— ses．Methods The imaging findings of primary mediastinal cysts proved by pathlolgy in 42 cases were retrospectively．All of cases under— went posteroanterior and lateral views of chest．The plain and contrast—enhanced CT scans were performed in 28 and 15 cases．MRI exam／- nation was done in 6 cases．The location，size，shape，density，edge，wall and adjacent structures of the primary mediastinal cysts were ob— se~ed．According to imaging features all of cases was divided into typical group and atypical group．Results The mediastinal cysts were lo- cated in anterior mediastinum in 28 cases，in middle mediastinum in 7 cases，in posterior mediastinum in 7cases．Bronchogenic cyst was in 9 cases．Cystic lymphangioma was in 4 cases．Thymic cyst was in 1 1 cases．Pericardia1 cyst was in 5 cases．Mature cystic teratoma was in 13 c