| CT淋巴管造影对淋巴管肌瘤病乳糜胸的诊断价值 |
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| 引用本文： | 张奇瑾,王仁贵,张春燕,沈文彬,孙应实,李晓婷,曹崑.CT淋巴管造影对淋巴管肌瘤病乳糜胸的诊断价值[J].CT理论与应用研究,2016(2):211-217. |
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| 作者姓名： | 张奇瑾 王仁贵 张春燕 沈文彬 孙应实 李晓婷 曹崑 |
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| 作者单位： | 1. 北京大学肿瘤医院暨北京市肿瘤防治研究所医学影像科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100083;2. 北京大学第九临床医学院北京世纪坛医院 放射中心,北京,100038;3. 北京大学第九临床医学院北京世纪坛医院 淋巴外科,北京,100038 |
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| 摘 要： | 目的:探讨CT淋巴管造影对淋巴管肌瘤病乳糜胸的诊断价值。方法:回顾性分析2009至2014年我院38例临床或病理证实的LAM患者及172例非LAM乳糜胸患者的临床及影像学资料,所有患者均接受淋巴管造影(DLG)及淋巴管造影后CT检查,由2名医师对CT淋巴管造影(CTL)显示乳糜胸的发生部位、分布类型及胸导管梗阻情况进行分析。结果:CTL显示36例LAM合并乳糜胸。单侧积液23例(右侧11例,左侧12例),双侧积液13例;脏层胸膜型3例,壁层胸膜型7例,混合型4例,未显示型22例。172例非LAM乳糜胸(原发性乳糜胸118例,继发性乳糜胸54例)。118例原发性乳糜胸中,右侧积液26例,左侧积液27例,双侧积液65例;脏层型60例,壁层型15例,混合型23例,未显示型20例。54例继发性乳糜胸中,右侧积液13例,左侧积液3例,双侧积液38例;脏层型43例,壁层型2例,混合型6例,未显示型3例。LAM乳糜胸与原发性乳糜胸的发生部位不存在差异,LAM乳糜胸与继发性乳糜胸的发生部位存在差异。LAM乳糜胸的发生侧别几乎没有差别,继发性乳糜胸常见为双侧。LAM乳糜胸与原发性乳糜胸和继发性乳糜胸在胸膜类型上存在差异,LAM乳糜胸以未显示型最常见,而原发性和继发性乳糜胸以脏层型最常见。结论:CTL可显示LAM乳糜胸的发生类型,提示胸导管梗阻或者腹腔淋巴管压力增高可能是LAM乳糜胸的致病原因,为临床手术治疗LAM乳糜胸提供影像学依据。
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| 关 键 词： | 淋巴管肌瘤病 乳糜胸 CT淋巴管造影 X线计算机 |
The Diagnostic Value of CT Lymphangiography about Chylothorax of Lymphangioleiomyomatosis |
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| ZHANG Qi-jin,WANG Ren-gui,ZHANG Chun-yan,SHEN Wen-bin,SUN Ying-shi,LI Xiao-ting,CAO Kun.The Diagnostic Value of CT Lymphangiography about Chylothorax of Lymphangioleiomyomatosis[J].Computerized Tomography Theory and Applications,2016(2):211-217. |
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| Authors: | ZHANG Qi-jin WANG Ren-gui ZHANG Chun-yan SHEN Wen-bin SUN Ying-shi LI Xiao-ting CAO Kun |
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| Abstract: | Objective: To explore the diagnosis value of CT lymphangiography (CTL) about chylothorax of lymphangioleiomyomatosis (LAM). Methods: A retrospective review of the clinical and radiological data of 38 LAM and 172 non-LAM-chylothorax patients. The distribution and pattern of chylothorax and in CTL were analyzed by 2 doctors. Results: 36 LAM accompanied with chylothorax. There is no difference between LAM and primary chylothorax about the distribution of chylothorax. There is difference between LAM and secondary chylothorax about the distribution of chylothorax. Secondary chylothorax is usually bilateral. The common pleura pattern of LAM chylothorax is no-manifestation, whereas visceral pleura pattern is common in primary and secondary chylothorax. Conclusions: CTL can display the pattern of chylothorax for LAM, which suggests that abnormality of thoracic duct extremity or high pressure of abdominal lymphatic vessel maybe the etiopathogenisis of chylothorax for LAM, which provides information to therapy chylothorax of LAM. |
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| Keywords: | lymphangioleiomyomatosis (LAM) chylothorax CT lymphography (CTL) X-ray computed |
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