| 原发性乳糜性心包积液淋巴回流障碍的直接淋巴管造影和MSCT表现 |
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| 引用本文： | 张春燕,陈孝柏,温廷国,霍萌,沈丽辉,沈文彬,王仁贵.原发性乳糜性心包积液淋巴回流障碍的直接淋巴管造影和MSCT表现[J].中国医学影像技术,2013,29(10):1642-1645. |
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| 作者姓名： | 张春燕 陈孝柏 温廷国 霍萌 沈丽辉 沈文彬 王仁贵 |
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| 作者单位： | 首都医科大学附属北京世纪坛医院放射中心, 北京 100038;首都医科大学附属北京世纪坛医院放射中心, 北京 100038;首都医科大学附属北京世纪坛医院放射中心, 北京 100038;首都医科大学附属北京世纪坛医院放射中心, 北京 100038;首都医科大学附属北京世纪坛医院放射中心, 北京 100038;首都医科大学附属北京世纪坛医院淋巴外科, 北京 100038;首都医科大学附属北京世纪坛医院放射中心, 北京 100038 |
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| 摘 要： | 目的 探讨直接淋巴管造影(DLG)和MSCT诊断乳糜性心包积液淋巴回流障碍的价值.方法 回顾性分析9例乳糜性心包积液的DLG及造影后MSCT资料;7例伴乳糜胸,其中1例伴乳糜痰;8例接受胸导管梗阻解除术.结果 9例DLG和MSCT均表现为胸导管出口梗阻;5例合并心包区反流,其中4例通过扩张的支气管纵隔干反流.8例接受胸导管出口梗阻解除术,术后病情好转.结论 DLG和MSCT可显示原发性乳糜性心包积液胸导管及属支异常,并能显示心包腔与淋巴系统的异常交通,后者可能是治疗的关键.
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| 关 键 词： | 心包积液 乳糜胸 胸导管 淋巴管造影术 体层摄影术 X线计算机 |
| 收稿时间： | 2013/1/25 0:00:00 |
| 修稿时间： | 2013/8/10 0:00:00 |
Direct lymphangiography and MSCT manifestations of lymphatic return disorder of primary chylopericardium |
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| ZHANG Chun-yan,CHEN Xiao-bai,WEN Ting-guo,HUO Meng,SHEN Li-hui,SHEN Wen-bin and WANG Ren-gui.Direct lymphangiography and MSCT manifestations of lymphatic return disorder of primary chylopericardium[J].Chinese Journal of Medical Imaging Technology,2013,29(10):1642-1645. |
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| Authors: | ZHANG Chun-yan CHEN Xiao-bai WEN Ting-guo HUO Meng SHEN Li-hui SHEN Wen-bin and WANG Ren-gui |
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| Institution: | Radiology Centre, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;Radiology Centre, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;Radiology Centre, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;Radiology Centre, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;Radiology Centre, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;Department of Lymph Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;Radiology Centre, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China |
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| Abstract: | Objective To explore the diagnosis value of direct lymphangiography (DLG) and MSCT in lymphatic return disorder of primary chylopericardium. Methods DLG and post-procedure MSCT of 9 patients with primary pericardium were retrospectively analyzed, in which 7 accompanied by chylothorax, 1 accompanied by chyloptysis, and 8 underwent thoracic duct exploration. Results All 9 patients appeared thoracic duct exit obstruction on DLG and MSCT, with 5 pericardial reflux, including 4 from dilated bronchomediastinal trunk. Pericardial effusion released in 8 patients had thoracic duct exit occlusion removing. Conclusion DLG and MSCT can detect the abnormality of thoracic duct and accessory lymphatic channels in primary pericardium as well as abnormal communication between pericardial cavity and lymphatic system, which may be crucial for therapy. |
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| Keywords: | Pericardial effusion Chylothorax Thoracic duct Lymphangiography Tomography X-ray computed |
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