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Imaging Manifestation of Diaphragm and Approximate Changes<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
陈颖# 白晶* 胡景珍#
#哈尔滨医科大学第一医院放射科
*大庆四厂医院放射科
Abstract
Objective: To investigate the imaging diagnosis and differential diagnosis of pathological changes in approximate the diaphragm.
Methods: Cases were collected for this study from a list of 80 patients with the pathological changes near the diaphragm who had chest radiography gastrointestinal tract Fluoroscopy artificial pneumoperitoneum CT ultrasound surgery and biopsy.
Result: Imaging manifestation may be diaphragm lifting, mass above diaphragm, hydropneumo below diaphragm, "pneumothorax" and "hydropneumothorax" sign "pleural effusion" sign, big stomach in chest cavity and small stomach in chest cavity above diaphragm, lung abscess, rupture of diaphragm, fornix of stomach above diaphragm, haustra of colon above diaphragm, mucosa above diaphragm, shift of the mediastinum and so on.
Conclusion: With variety of imaging methods according to different imaging manifestation and in the light of clinic make right diagnosis.
目 的
横膈及其附近病变种类繁多，影像学表现多种多样，本文讨论其影像学诊断及鉴别诊断。
材料与方法
本文收集我院40多年来临床，X线，病理证实的横膈及膈上、膈下病变80例。肺底边缘型肺癌4例、肺底结核球1例、肺底游离积液13例、肺底包裹积液3例、肺底胸腺间皮瘤1例、食管裂孔疝20例、胸腹裂孔疝3例、胸骨旁裂孔疝1例，右先天性横膈部分缺损、肝脏疝入胸腔1例、外伤性隔疝8例、横膈肿瘤4例、膈膨升病7例、膈麻痹4例、阿米巴肝脓肿1例、原发性肝癌3例、膈下脓肿2例、脾淋巴肉瘤2例、肝囊肿2例。
病人中男49例，女31例，年龄5天～78岁，临床有呼吸困难，胸骨后压迫感，心绞痛，呕吐等症状，并有体检中发现。
检查方法采用胸部透视、胸部正侧位像、胃肠透视、断层、人工气腹、CT扫描。 | 
