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胸腺瘤的X线平片、CT诊断(附23例分析)
引用本文:王加珍,史浩,周永利.胸腺瘤的X线平片、CT诊断(附23例分析)[J].中国中西医结合影像学杂志,2006,4(3):183-185.
作者姓名:王加珍  史浩  周永利
作者单位:1. 山东省博兴县中心医院影像科,山东,博兴,256500
2. 山东省医学影像学研究所,山东,济南,250021
3. 山东省博兴县人民医院CT室,山东,博兴,256500
摘    要:目的:评价X线平片、CT对胸腺瘤的诊断价值。方法:回顾分析23例经手术病理证实的胸腺瘤的临床、X线、CT表现,将结果与病理进行对照分析。结果:非侵袭性胸腺瘤X线平片诊断符合率为66.7%,CT诊断符合率为86.7%。侵袭性胸腺瘤X线诊断符合率为25%,CT诊断符合率为87.5%。CT敏感性和特异性较胸片为高,尤其判断胸腺瘤是否具有“侵袭性”方面CT明显优于X线平片。结论:X线平片是诊断胸腺瘤的基本方法,CT是诊断胸腺瘤最有效的方法,二者可以互相结合。病理最终可确定组织来源和性质,CT是病理判断胸腺瘤是否具有“侵袭性”的重要补充。

关 键 词:纵隔  胸腺瘤  X线摄影  CT
文章编号:1672-0512(2006)03-0183-03

X-ray and CT diagnosis of thymoma(23 cases analysis)
WANG Jia-zhen,SHI Hao,ZHOU Yong-li.X-ray and CT diagnosis of thymoma(23 cases analysis)[J].Chinese Imaging Journal of Integrated Traditional and Western Medicine,2006,4(3):183-185.
Authors:WANG Jia-zhen  SHI Hao  ZHOU Yong-li
Abstract:Objective: To evaluate the X-ray and CT diagnostic value of Thymoma.Methods: Clinical and imaging material of 23 cases of thymoma confirmed by surgery and histopathology were reviewed.The result of clinical and imaging material were compared with histopathology.Results: The diagnosis coincidential rate in noninvasive thymoma was 66.7% on X-ray film,was 86.7% on CT.The diagnosis coincidential rate in invasive thymoma was 25% on X-ray film,was 87.7%on CT.The sensitivity and peculiarity of CT was superior to X-ray film especially,the aspect of which distinguished whether the Thymoma was invasive or not was superior to X-ray.Conclusion:CT was the most efficient method of diagnoing thymoma.Both of the methods could be joined in integrated
Keywords:Mediastinum  Thymoma  X-ray imaging  CT
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