奇静脉弓在胸部X线平片中影像表现.docVIP

奇静脉弓在胸部X线平片中影像表现【摘要】 目的 探讨奇静脉弓的X线平片表现。方法 分析20例误诊病例奇静脉弓X线平片表现及CT对照。结果 20例X线平片均发现胸4椎体下缘右旁区域见一直径数毫米到15 mm的结节状或椭圆形密度增高影，误为病变，CT证实为奇静脉弓。站立位者奇静脉弓直径较卧位者小，CT测得值比平片测值小。结论 在X线平片上奇静脉弓表现为胸4椎体下缘右旁区域直径数毫米到15 mm左右小结节状或椭圆形密度增高影，左缘与气管右侧壁相邻，下缘右主支气管上壁相邻，右缘紧邻纵隔胸膜，对周围组织不产生压迫、推移或侵蚀破坏征象，不要误诊为病变。 【关键词】 奇静脉； 奇静脉弓； X线成像技术； 体层摄影术 Arch of vein azygos in the chest X-ray film images shown LUO Rong-zhi. Orthopaedic Hospital of Sichuan,Chengdu 610000，China 【Abstract】 Objective To discuss arch of vein azygos in the chest X-ray film images shown.Methods To analyse 20 cases of misdiagnosed cases of arch of azygos vein performance X-ray and CT imaging.Results 20 cases of X-ray chest 4 were found right next to the lower edge of the vertebral body region saw a diameter of few millimeters to 15 mm nodular or oval-shaped high density shadow, mistaken for lesions, CT confirmed the Archof azygos vein arch and standing by azygos smaller diameter than those who bow lying, CT values than the measured value of X-ray imaging side of the small.Conclusion On the X-ray chest showed archof azygos vein arch the lower edge of the right side 4 vertebral region around few millimeters to 15 mm diameter, small nodular or oval-shaped high density shadow, the left edge of the right side of the wall adjacent to the trachea, right main bronchus on the lower edge wall adjacent to the right edge of the adjacent mediastinal pleura, the surrounding tissue does not produce pressure, signs such as erosion and damage over time or not mistaken for lesions. 【Key words】 Azygos vein; Archof azygos vein; X-ray imaging technology; Tomography 在X线平片中奇静脉因缺乏密度对比，一般不显影，当有奇副裂存在时奇静脉弓才容易引起放射诊断医师的注意，在没有奇副裂存在时，显影的奇静脉弓很容易被误认为病变，特别是刚从事放射诊断的医师。现将本院收集的20例奇静脉弓X线平片与CT扫描下显影比较，报告如下。 1 资料与方法 1.1 一般资料 本组20例，男12例，女8例，年龄23～72岁。临床5例无明显症状，11例表现为咳嗽，3例表现为胸痛，1例表现为呼吸困难。 1.2 检查方法 X线平片用岛津500 MAX线摄片机，17例摄站立位胸部后前正位片，3例摄卧位胸部前后正位片。CT用GE64排螺旋CT扫描，扫描参数：120 kv，240～350 mAs，螺距0.984∶1，重建层厚0.625 mm，然后把图像传输到后处理工作站，通过GE 4.0后处理软件进行图像常规轴位及冠状位重建。 2 结果 20