摘要
目的 :通过对 5 0例纵隔肿瘤的X线征象分析以提高平片对纵隔肿瘤的定位及定性诊断率。方法 :对 5 0例纵隔肿瘤的患者行透视、摄片、食管钡透、体层摄影及CT检查。结果 :5 0例纵隔肿瘤其中 17例 ( 34% )有胸膜返折线。胸腺瘤 ,畸胎瘤 ,胸骨后甲状腺及神经源性肿瘤占大多数 39例 ( 78% )。立舌征提示胸腺瘤 ,倒置三角形提示胸内甲状腺 ,肺尖圆球征提示后纵隔神经源性肿瘤 ,囊肿常有蛋壳样钙化。结论 :掌握这些征象 ,对纵隔肿瘤在X线平片上的定位定性诊断起到很重要的作用。
Objective:By analyzing the X-ray characteristics in 50 cases the location and quality diagnosis of mediastnal tumors have been improved. Methods:50 cases of mediastinal tumors were examined with fluoroscopy,X-ray plainfilm,esophagography, tomography and CT. Results:17(34%)of 50 cases of mediastinal tumors showed returned pleural line. 39(78%) of them were thymoma, teratoma, retrosternal thyroid, and neurogenic tumor. Lingual sign suggested thymoma, and inverse triangle suggested retrosternal thymoma. Ball sign in the tip of thorax suggested neurogenic tumor in the posterior mediastinum. Cyst usually had egg shell calcification. Conclusion:These characteristics play an important role in the diagnosis by X-ray plain film for mediastinal tumors.
出处
《江苏大学学报(医学版)》
CAS
2001年第6期23-25,共3页
Journal of Jiangsu University:Medicine Edition
关键词
纵隔肿瘤
X线征像
Mediastinal tumor
X-ray characteristics