| 胸腹通连病变的影像诊断及其解剖基础 |
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| 引用本文： | 周翔平,严志汉,黄娟,许崇永,刘荣波,李真林,徐剑英.胸腹通连病变的影像诊断及其解剖基础[J].临床放射学杂志,2000,19(1):44-46. |
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| 作者姓名： | 周翔平 严志汉 黄娟 许崇永 刘荣波 李真林 徐剑英 |
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| 作者单位： | 610041,成都,华西医科大学附属第一医院放射科 |
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| 摘 要： | 目的 探讨胸腹通连病变的ＣＴ、ＭＲＩ诊断及其解剖基础。材料与方法 回顾性分析５４例穿越膈孔的膈肌的胸腹通连病变，并以４０例正常人ＣＴ、ＭＲＩ表现作对照。结果 ５４例病变经食管裂孔１８例，病变主要系贲门癌侵犯食管下段、食管静脉曲张及食管旁疝；经主动脉裂孔２１例，病变有淋巴瘤、淋巴转移、其他肿瘤及上腔静脉塞后厅静脉扩张；经下腔静脉裂了孔７例；经膈肌直接穿通８例，见于肺癌、肝癌、感染性疾病、先天性膈发育
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| 关 键 词： | 通连病变 胸部 腹部 CT MRI 诊断 |
The Imaging Diagnosis and Its Anatomic Basis of the Thorax-Abdomen Communicating Diseases |
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| ZHOU Xiangping, YAN Zhihan, HUANG
Juan.The Imaging Diagnosis and Its Anatomic Basis of the Thorax-Abdomen Communicating Diseases[J].Journal of Clinical Radiology,2000,19(1):44-46. |
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| Authors: | ZHOU Xiangping YAN Zhihan HUANG
Juan |
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| Institution: | ZHOU Xiangping, YAN Zhihan, HUANG
Juan;
(Department of Radiology, No.1 Affiliated Hospital of West China University of Medical
Sciences, Chengdu, Sichuan Province 610041, P.R.China) |
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| Abstract: | Objective To evaluate CT and MRI findings in diagnosing thoraxabdomen communicating diseases, and to study their anatomic basis.Materials and Methods CT and MRI were performed in 40 normal subjects and 54 patients with thoraxabdomen communicating diseases.Results Of total 54 patients, 18 lesions passed through the esophageal aperture, including cardiac carcinoma with invasion of lower esophagus, parasophageal varices or hiatus hernia; 21 lesions passed through the aortic aperture, including lymphoma, lymphatic metastasis, other tumors and dilatation of azygous vein due to SVC obstruction; 8 lesions passed through diaphragm directly, including lung cancer, HCC infection congenital malformation of the diaphragm.Conclusion For a better understanding of the CT and MRI signs of the thoraxabdomen communicating lesions, to be familiar with the normal anatomy of the diaphragmatic apertures is very helpful. |
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| Keywords: | Communicating lesion Thorax Abdomen CT MRI Anatomy |
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