论文部分内容阅读
为探讨超声、ＣＴ和传统Ｘ线检查对心包肿瘤和肿瘤样病变诊断价值。本组１１例均经手术病理证实，均摄胸部正侧位片。心包腔穿刺抽液注气造影摄片１例，ＣＴ检查１例，超声检查６例。结果：心包脂肪瘤、畸胎瘤各１例，心包囊肿６例，心包间皮瘤３例。超声与传统Ｘ线检查是最基本方法，结合ＣＴ、ＭＲＩ检查在多数情况可判断病变的良恶性。普大型心包积液病例，肿瘤和瘤样病变常被掩盖，辅以心包腔穿刺抽液注气、心包造影可提高定位定性诊断率。
To explore the value of ultrasound, CT and traditional X-ray examination in the diagnosis of pericardial and tumor-like lesions. All 11 patients in this group were confirmed by surgery and pathology. Pericardiocentesis puncture was performed in 1 patient, CT in 1 patient, and ultrasound in 6 patients. Results: 1 case of pericardial lipoma and teratoma, 6 cases of pericardial cyst, and 3 cases of pericardial mesothelioma. Ultrasound and traditional X-ray examination are the most basic methods. Combining CT and MRI examinations can determine the benign and malignant lesions in most cases. In the case of large-scale pericardial effusions, tumors and tumor-like lesions are often covered, supplemented by pericardial puncture fluid injection and pericardial radiography, which can improve the positioning and diagnosis rate.