• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

胸疝的影像学检查：类型与并发症

Imaging of thoracic hernias: types and complications.

作者信息

Chaturvedi Abhishek, Rajiah Prabhakar, Croake Alexender, Saboo Sachin, Chaturvedi Apeksha

机构信息

Imaging Science, University of Rochester Medical Center, 601, Elmwood Avenue, Rochester, NY, 14642, USA.

Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

Insights Imaging. 2018 Dec;9(6):989-1005. doi: 10.1007/s13244-018-0670-x. Epub 2018 Nov 27.

DOI:10.1007/s13244-018-0670-x
PMID:30484078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6269341/
Abstract

Thoracic hernias are characterised by either protrusion of the thoracic contents outside their normal anatomical confines or extension of the abdominal contents within the thorax. Thoracic hernias can be either congenital or acquired in aetiology. They can occur at the level of the thoracic inlet, chest wall or diaphragm. Thoracic hernias can be symptomatic or fortuitously discovered on imaging obtained for other indications. Complications of thoracic hernias include incarceration, trauma and strangulation with necrosis. Multiple imaging modalities are available to evaluate thoracic hernias. Radiographs usually offer the first clue to the diagnosis. Upper gastrointestinal radiography can identify bowel herniation and associated complications. CT and occasionally MR can be useful for further evaluation of these abnormalities, accurately identifying the type of hernia, its contents, associated complications, and provide a roadmap for surgical planning. In this article, we review the different types of thoracic hernias and the role of imaging in the evaluation of these hernias. TEACHING POINTS: • Protrusion of lung contents beyond the anatomic confines of the thorax constitutes a hernia. • Complications of thoracic hernias include incarceration, trauma and strangulation with necrosis. • Multiple imaging modalities are available to evaluate thoracic hernias. • CT is the imaging modality of choice for identifying thoracic hernias and their complications. • Imaging can provide a roadmap for surgical planning.

摘要

胸段疝的特征是胸腔内容物突出到其正常解剖边界之外，或者腹腔内容物延伸至胸腔内。胸段疝在病因上可分为先天性或后天性。它们可发生于胸廓入口、胸壁或膈肌水平。胸段疝可能有症状，也可能在因其他指征进行影像学检查时偶然发现。胸段疝的并发症包括嵌顿、创伤以及绞窄伴坏死。有多种成像方式可用于评估胸段疝。X线平片通常是诊断的首要线索。上消化道造影可识别肠疝及相关并发症。CT以及偶尔使用的MR对这些异常的进一步评估可能有用，可准确识别疝的类型、内容物、相关并发症，并为手术规划提供路线图。在本文中，我们回顾了不同类型的胸段疝以及成像在这些疝评估中的作用。教学要点：• 肺内容物突出到胸廓的解剖边界之外即构成疝。• 胸段疝的并发症包括嵌顿、创伤以及绞窄伴坏死。• 有多种成像方式可用于评估胸段疝。• CT是识别胸段疝及其并发症的首选成像方式。• 成像可为手术规划提供路线图。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/20dda3aadf6b/13244_2018_670_Fig18_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/ae8c6b05f865/13244_2018_670_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/69f22341d686/13244_2018_670_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/00cb1fc18d0a/13244_2018_670_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/a2268813003a/13244_2018_670_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/77f6aabd23ad/13244_2018_670_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/fa4319822dc3/13244_2018_670_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/3d9145a19678/13244_2018_670_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/1cf6510facef/13244_2018_670_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/54b457d24160/13244_2018_670_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/ec11dbc4a15b/13244_2018_670_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/5a730cfe34b0/13244_2018_670_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/c498c3bb4f67/13244_2018_670_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/1779da505ce7/13244_2018_670_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/cec3fd47674f/13244_2018_670_Fig14_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/b440f5dae8bb/13244_2018_670_Fig15_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/be457af9a368/13244_2018_670_Fig16_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/ea2c26fd0133/13244_2018_670_Fig17_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/20dda3aadf6b/13244_2018_670_Fig18_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/ae8c6b05f865/13244_2018_670_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/69f22341d686/13244_2018_670_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/00cb1fc18d0a/13244_2018_670_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/a2268813003a/13244_2018_670_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/77f6aabd23ad/13244_2018_670_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/fa4319822dc3/13244_2018_670_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/3d9145a19678/13244_2018_670_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/1cf6510facef/13244_2018_670_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/54b457d24160/13244_2018_670_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/ec11dbc4a15b/13244_2018_670_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/5a730cfe34b0/13244_2018_670_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/c498c3bb4f67/13244_2018_670_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/1779da505ce7/13244_2018_670_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/cec3fd47674f/13244_2018_670_Fig14_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/b440f5dae8bb/13244_2018_670_Fig15_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/be457af9a368/13244_2018_670_Fig16_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/ea2c26fd0133/13244_2018_670_Fig17_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bb/6269341/20dda3aadf6b/13244_2018_670_Fig18_HTML.jpg

相似文献

1
Imaging of thoracic hernias: types and complications.胸疝的影像学检查：类型与并发症
Insights Imaging. 2018 Dec;9(6):989-1005. doi: 10.1007/s13244-018-0670-x. Epub 2018 Nov 27.
2
Imaging of abdominal hernias.腹部疝的影像学检查
Radiographics. 1995 Mar;15(2):333-47. doi: 10.1148/radiographics.15.2.7761639.
3
Diaphragmatic Hernia膈疝
4
Congenital and acquired lung hernias.先天性和后天性肺疝。
J Thorac Imaging. 1996 Winter;11(1):75-82. doi: 10.1097/00005382-199601110-00008.
5
Thoracic hernias: What the radiologist should know.
J Med Imaging Radiat Oncol. 2025 Feb;69(1):62-71. doi: 10.1111/1754-9485.13792. Epub 2024 Oct 18.
6
Intestinal obstruction caused by a strangulated Morgagni hernia in an adult patient.一名成年患者因绞窄性 Morgagni 疝导致肠梗阻。
J Thorac Imaging. 2005 Aug;20(3):220-2. doi: 10.1097/01.rti.0000154078.59689.36.
7
Lung hernia: radiographic features.肺疝：影像学特征
AJR Am J Roentgenol. 1990 Jan;154(1):51-3. doi: 10.2214/ajr.154.1.2104725.
8
Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT.腹壁疝：多排探测器CT的影像特征、并发症及诊断陷阱
Radiographics. 2005 Nov-Dec;25(6):1501-20. doi: 10.1148/rg.256055018.
9
[Lung hernia provoked by a cough fit].[咳嗽发作引发的肺疝]
Rev Pneumol Clin. 2015 Feb;71(1):60-3. doi: 10.1016/j.pneumo.2014.11.005. Epub 2015 Feb 14.
10
Faecopneumothorax Caused by Perforated Diaphragmatic Hernia.穿孔性膈疝所致粪气胸
Case Rep Surg. 2020 Aug 10;2020:8860336. doi: 10.1155/2020/8860336. eCollection 2020.

引用本文的文献

1
Upfront Thoracic Magnetic Resonance Imaging for the Evaluation of Thymic Lesions to Reduce Non-Therapeutic Diagnostic Thymectomy: A Narrative Review.用于评估胸腺病变以减少非治疗性诊断性胸腺切除术的术前胸部磁共振成像：一项叙述性综述
Healthcare (Basel). 2024 Oct 14;12(20):2036. doi: 10.3390/healthcare12202036.
2
Spontaneous Chest Wall Hernias: Intercostal Lung Hernia and Inverted Intercostal Hernia.自发性胸壁疝：肋间肺疝和反向肋间疝。
Indian J Radiol Imaging. 2024 Jul 11;34(4):781-783. doi: 10.1055/s-0044-1787840. eCollection 2024 Oct.
3
Imaging of abdominopelvic oncologic emergencies.

本文引用的文献

1
Incremental Value of Magnetic Resonance Imaging in Further Characterizing Hypodense Mediastinal and Paracardiac Lesions Identified on Computed Tomography.磁共振成像在进一步明确计算机断层扫描发现的纵隔及心旁低密度病变特征方面的增量价值
J Clin Imaging Sci. 2018 Mar 12;8:10. doi: 10.4103/jcis.JCIS_63_17. eCollection 2018.
2
Multidetector CT for Evaluation of the Extrapleural Space.多层螺旋CT用于评估胸膜外间隙
Radiographics. 2017 Sep-Oct;37(5):1352-1370. doi: 10.1148/rg.2017160180. Epub 2017 Aug 4.
3
Trans-mediastinal herniation of bulla: Semilunar sign.
腹部盆腔肿瘤急症的影像学表现。
Abdom Radiol (NY). 2024 Mar;49(3):823-841. doi: 10.1007/s00261-023-04112-8. Epub 2023 Nov 28.
4
Spontaneous intercostal herniation of lung and pleural fluid.自发性肺肋间疝和胸腔积液。
Respir Med Case Rep. 2023 Oct 7;46:101925. doi: 10.1016/j.rmcr.2023.101925. eCollection 2023.
5
Delayed Right Diaphragmatic Hernia With Chilaiditi Syndrome: A Case Report.迟发性右膈疝合并奇阿里氏综合征：一例报告
Cureus. 2023 Jul 5;15(7):e41420. doi: 10.7759/cureus.41420. eCollection 2023 Jul.
6
Diaphragmatic Hernia Presenting as Acute Gastric Outlet Obstruction: A Rare Complication of Left Lower Lobectomy.表现为急性胃出口梗阻的膈疝：左下肺叶切除术的一种罕见并发症
Cureus. 2022 Jul 4;14(7):e26544. doi: 10.7759/cureus.26544. eCollection 2022 Jul.
7
Acute Gastric Volvulus in the Setting of a Paraesophageal Hernia With Hemoperitoneum: Emergency Department Diagnosis and Management.伴有腹腔积血的食管旁疝患者的急性胃扭转：急诊科的诊断与处理
Cureus. 2021 Dec 14;13(12):e20404. doi: 10.7759/cureus.20404. eCollection 2021 Dec.
8
Laparoscopic approach in the treatment of Morgagni hernia.腹腔镜手术治疗 Morgagni 疝
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jul 28;28(3):514-520. doi: 10.5606/tgkdc.dergisi.2020.19209. eCollection 2020 Jul.
9
Imaging findings of lesions in the middle and posterior mediastinum.中后纵隔病变的影像学表现。
Jpn J Radiol. 2021 Jan;39(1):15-31. doi: 10.1007/s11604-020-01025-0. Epub 2021 Jan 18.
10
Symptomatic huge diaphragmatic hernia.
BMJ Case Rep. 2019 Mar 20;12(3):e229286. doi: 10.1136/bcr-2019-229286.
肺大疱经纵隔疝出：半月征。
Lung India. 2015 Nov-Dec;32(6):611-3. doi: 10.4103/0970-2113.168128.
4
Congenital defects of the pericardium: a review.先天性心包缺陷：综述。
Eur Heart J Cardiovasc Imaging. 2015 Aug;16(8):821-7. doi: 10.1093/ehjci/jev119. Epub 2015 May 23.
5
Complex iatrogenic esophageal injuries: an imaging spectrum.复杂性医源性食管损伤：影像学表现谱
AJR Am J Roentgenol. 2015 Feb;204(2):W116-25. doi: 10.2214/AJR.14.12476.
6
Intercostal lung herniation--the role of imaging.肋间肺疝——影像学的作用
J Radiol Case Rep. 2014 Apr 1;8(4):16-24. doi: 10.3941/jrcr.v8i4.1606. eCollection 2014 Apr.
7
The surgical management of intercostal lung herniation using bioprosthesis.使用生物假体对肋间肺疝进行手术治疗。
J Surg Case Rep. 2011 Feb 1;2011(2):6. doi: 10.1093/jscr/2011.2.6.
8
Delayed presentation of post traumatic diaphragmatic hernia.创伤后膈疝的延迟表现
J Surg Case Rep. 2011 Jul 1;2011(7):6. doi: 10.1093/jscr/2011.7.6.
9
Chest wall reconstruction for sternal dehiscence after open heart surgery.心脏直视手术后胸骨裂开的胸壁重建术。
Ann Plast Surg. 2013 Jul;71(1):84-7. doi: 10.1097/SAP.0b013e31824872d9.
10
Fetal MR imaging of congenital diaphragmatic hernia.先天性膈疝的胎儿磁共振成像。
Radiographics. 2012 Jul-Aug;32(4):1067-84. doi: 10.1148/rg.324115155.