摘要
目的总结心包囊肿的影像学特点、临床治疗方法和效果。方法回顾性分析我院1990年3月至2009年4月经手术与病理证实的23例心包囊肿的临床资料。23例均行胸部X线检查,16例行超声心动图检查,19例行CT检查。23例均行手术切除治疗,术后随访。结果心包囊肿可位于胸腔不同部位,以右心膈角区多见,多呈圆形或椭圆形,密度均匀。超声心动图可见有包膜的含液囊性肿物。囊肿的CT值为0～18Hu。手术切除效果良好,并发症少,平均随诊6个月～20年,平均(6.37±2.84)年,无复发。结论心包囊肿具有典型的影像学特征,综合应用各种影像学方法,结合临床可做出正确诊断。手术切除是一种安全有效的治疗方法。
Objective To review the imaging features and analyze the curative methods and effect of pericardial cysts. Methods Twenty-three cases with pericardial cyst confirmed by operation and pathology were reported. There were echocardiagram reports in 16 cases of the patients, chest X-ray in 23cases and CT in 19 cases. All patients underwent surgical resection and followed up. Results Most lesions located in right cardiophrenic angle,which usually had round or oval shape and homogeneous density. Echocardiagram showed typical imaging features of cyst involing fluid. The CT value was 0-18Hu. Surgical resection of cyst had good efficacy with few complications.No pericardial cyst recurred at 6 months to 20 years follow-up. Conclusions Pericardial cyst has typical imaging characters, it is suggested that correct diagnosis can be made through different imaging procedures combined with clinical findings. Surgical resection is a safe and effective treatment.
出处
《北京医学》
CAS
2010年第2期90-92,共3页
Beijing Medical Journal
