| 右侧胸腹交界区病变的MDCT表现及其解剖、病理基础 |
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| 引用本文： | 叶奕兰,杨志刚,李华,邓雯,李媛,郭应坤.右侧胸腹交界区病变的MDCT表现及其解剖、病理基础[J].生物医学工程学杂志,2011(2). |
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| 作者姓名： | 叶奕兰 杨志刚 李华 邓雯 李媛 郭应坤 |
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| 作者单位： | 四川大学华西医院放射科;四川大学基础与法医学院人体解剖教研室; |
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| 基金项目： | 国家自然科学基金资助项目(30870688) |
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| 摘 要： | 为明确右下胸部、膈肌和右上腹部疾病累及右侧胸腹交界区的多层螺旋CT(MDCT)表现及解剖、病理基础,通过观察3例尸体横断面、3例矢状面标本胸腹交界区结构的位置、形态特征,并结合右侧胸腹交界区疾病69例的MDCT表现,阐明其影像学表现与解剖、病理的相关性,发现断面解剖上:右肺韧带位于下肺静脉下方,内侧附着于食管,外缘止于右肺下叶内侧表面;冠状韧带内侧与镰状韧带相延续,外侧上下层融合成右三角韧带,上下层之间为肝裸区。螺旋CT图像上,同时胸腹积液50例,右肺韧带将胸水在内侧分隔成前、后两部分,右上腹腔积液多分布于肝周间隙;5例右下肺癌向下累及膈胸膜、膈肌和上腹部结构;5例肝右叶癌向上累及膈下腹膜、膈肌脚及右下肺;1例右肾上腺癌伴膈肌转移;8例炎性病变均涉及到右下胸腔和右上腹部。该区域疾病的扩散途径主要包括直接浸润、血行和淋巴道的播散,并且右侧胸腹交界区解剖特点影响该区域疾病的局部、扩散和相互通连的影像表现。
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| 关 键 词： | 右下胸腔 膈肌 右上腹腔 上份腹膜后间隙 解剖学 病理学 |
MDCT Features and Anatomic-pathology in Right Thoracic-abdominal Junctional Region Diseases |
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| Ye Yilan Yang Zhigang Li Hua Deng Wen Li Yuan Guo Yingkun.MDCT Features and Anatomic-pathology in Right Thoracic-abdominal Junctional Region Diseases[J].Journal of Biomedical Engineering,2011(2). |
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| Authors: | Ye Yilan Yang Zhigang Li Hua Deng Wen Li Yuan Guo Yingkun |
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| Institution: | Ye Yilan1 Yang Zhigang1 Li Hua2 Deng Wen1 Li Yuan1 Guo Yingkun1 1(Department of Radiology,West China Hospital of Sichuan University,Chengdu 610041,China)2(Department of Human Anatomy,School of Preclinical and Forensic Medicine of Sichuan University,China) |
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| Abstract: | This paper was objected to determine the relationship between MDCT features and anatomic-pathology of diseases in right thoracic-abdominal junctional region.We cut 3 cadavers transversely and another 3 vertically to observe the anatomy of thoracic-abdominal junctional zone.We scanned 69 patients with diseases in right thoracic-abdominal junctional zone by MDCT. The correlation between MDCT features of right thoracic-abdominal junctional region and the anatomic-pathology in this region was evaluated.We found... |
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| Keywords: | Right lower thoracic cavity Diaphragm Right upper abdominal cavity Superior spatium retroperitoneale Anatomy Pathology |
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