摘要
目的探讨心包新月征在非钙化性缩窄性心包炎CT诊断中的价值。方法选择非钙化性缩窄性心包炎患者60例作为心包炎组,心脏肿瘤患者60例作为心脏肿瘤组,所有患者均进行CT检查,比较两组患者的心包新月征比例,并观察非钙化性缩窄性心包炎的主要影像表现。结果心包炎组患者CT出现心包新月征37例,占61.67%;心脏肿瘤组患者出现心包新月征2例,占3.33%;心包炎组患者的心包新月征比例显著高于心脏肿瘤组(P <0.05)。缩窄性心包炎的CT征象主要表现为:下腔静脉扩张、胸腔积液、新月征,分别占91.67%、 78.33%、 61.67%。结论心包新月征在非钙化性缩窄性心包炎的诊断中具有重要的临床应用价值,能够作为疾病诊断和鉴别诊断的依据。
Objective To investigate the value of pericardial crescent sign in CT diagnosis of non-calcified constrictive pericarditis. Methods 60 patients with non-calcified constrictive pericarditis were selected as pericarditis group, and 60 patients with cardiac tumor were selected as cardiac tumor group. All patients received CT examination. The proportion of pericardial crescent sign was compared between the two groups, and the main imaging features of non-calcified constrictive pericarditis were observed. Results There were 37 cases (61.67%) with pericardial crescent sign on CT in pericarditis group, and 2 cases (3.33%) in cardiac tumor group, and the incidence of pericardial crescent sign in pericarditis group was significantly higher than that in cardiac tumor group, with statistical difference (P <0.05). The main CT signs of constrictive pericarditis were inferior vena cava dilatation, pleural effusion and crescent sign, accounting for 91.67%, 78.33% and 61.67% respectively. Conclusions Pericardial crescent sign has important clinical value in the diagnosis of non-calcified constrictive pericarditis, and can be used as a basis for disease diagnosis and differential diagnosis.
作者
陈华文
杨有优
曾伟金
陈桂萍
杨程
CHEN Huawen;YANG Youyou;ZENG Weijin;CHEN Guiping;YANG Cheng(Department of Radiology,Lufeng People's Hospital,Lufeng 516500,China;Department of Imaging,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510030,China;Department of Imaging,Shanwei Second People's Hospital,Shanwei 516600,China)
出处
《临床医学工程》
2019年第2期151-152,共2页
Clinical Medicine & Engineering
关键词
心包新月征
非钙化性缩窄性心包炎
CT
鉴别诊断
Pericardial crescent syndrome
Non-calcified constrictive pericarditis
CT
Differential diagnosis
