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动态胸部X线摄影术在评估膈肌麻痹手术治疗效果中的应用价值

Efficacy of Dynamic Chest Radiography for Evaluating Surgical Treatment of Diaphragmatic Paralysis.

作者信息

Uchida Shinsuke, Matsunaga Takeshi, Hattori Aritoshi, Fukui Mariko, Takamochi Kazuya, Suzuki Kenji

机构信息

Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.

出版信息

Ann Thorac Surg Short Rep. 2024 Apr 2;2(3):502-505. doi: 10.1016/j.atssr.2024.03.007. eCollection 2024 Sep.

DOI:10.1016/j.atssr.2024.03.007
PMID:39790427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708631/
Abstract

Dynamic chest radiography (DCR) is a novel radiographic technique that evaluates the thoracic movement from inspiration to expiration. Here, we report the efficacy of DCR in the surgical treatment of diaphragmatic paralysis. A 60-year-old woman presented with phrenic nerve palsy after anterior mediastinal resection. Subsequent dynamic chest radiography revealed left diaphragmatic paralysis with paradoxical movement of the bilateral diaphragms during breathing. We folded and sutured the flaccid left diaphragm through surgery. We evaluated the postoperative radiographic findings using DCR. Subsequent postoperative DCR revealed improvement in the left diaphragm paralysis with suppressed left lateral diaphragm displacement during breathing.

摘要

动态胸部X线摄影（DCR）是一种评估从吸气到呼气时胸部运动的新型放射学技术。在此，我们报告DCR在膈肌麻痹手术治疗中的疗效。一名60岁女性在前纵隔切除术后出现膈神经麻痹。随后的动态胸部X线摄影显示左侧膈肌麻痹，呼吸时双侧膈肌出现矛盾运动。我们通过手术对松弛的左侧膈肌进行折叠和缝合。我们使用DCR评估术后影像学表现。随后的术后DCR显示左侧膈肌麻痹有所改善，呼吸时左侧膈肌向外侧的移位受到抑制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/11708631/fb387bc636b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/11708631/c6b6b5d4f4ab/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/11708631/0b71b34871e0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/11708631/fb387bc636b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/11708631/c6b6b5d4f4ab/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/11708631/0b71b34871e0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/11708631/fb387bc636b0/gr3.jpg

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本文引用的文献

1
A case of a transient phrenic nerve paralysis after resection of a giant lymphangioma evaluated by dynamic digital radiography.1例巨大淋巴管瘤切除术后短暂性膈神经麻痹的动态数字X线摄影评估病例。
Gen Thorac Cardiovasc Surg Cases. 2023 Jun 14;2(1):27. doi: 10.1186/s44215-023-00044-3.
2
Efficacy of Dynamic Chest Radiography for Chronic Thromboembolic Pulmonary Hypertension.动态胸部 X 线摄影对慢性血栓栓塞性肺动脉高压的疗效。
Radiology. 2023 Mar;306(3):e220908. doi: 10.1148/radiol.220908. Epub 2022 Nov 8.
3
Characterisation of hemidiaphragm dysfunction using dynamic chest radiography: a pilot study.
使用动态胸部X线摄影术对半膈肌功能障碍的特征描述：一项初步研究。
ERJ Open Res. 2022 Feb 21;8(1). doi: 10.1183/23120541.00343-2021. eCollection 2022 Jan.
4
Time-Resolved Quantitative Analysis of the Diaphragms During Tidal Breathing in a Standing Position Using Dynamic Chest Radiography with a Flat Panel Detector System ("Dynamic X-Ray Phrenicography"): Initial Experience in 172 Volunteers.使用平板探测器系统的动态胸部X线摄影术（“动态X线膈神经造影术”）对站立位潮气呼吸时膈肌进行时间分辨定量分析：172名志愿者的初步经验
Acad Radiol. 2017 Apr;24(4):393-400. doi: 10.1016/j.acra.2016.11.014. Epub 2016 Dec 15.
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Functional restoration of diaphragmatic paralysis: an evaluation of phrenic nerve reconstruction.膈肌瘫痪的功能恢复：膈神经重建的评估。
Ann Thorac Surg. 2014 Jan;97(1):260-6. doi: 10.1016/j.athoracsur.2013.09.052. Epub 2013 Nov 19.
6
Long-term follow-up of the functional and physiologic results of diaphragm plication in adults with unilateral diaphragm paralysis.成人单侧膈肌麻痹行膈肌折叠术功能及生理结果的长期随访
Ann Thorac Surg. 2009 Oct;88(4):1112-7. doi: 10.1016/j.athoracsur.2009.05.027.
7
Evaluation of pulmonary function using breathing chest radiography with a dynamic flat panel detector: primary results in pulmonary diseases.使用动态平板探测器进行呼吸胸部X线摄影评估肺功能：肺部疾病的初步结果
Invest Radiol. 2006 Oct;41(10):735-45. doi: 10.1097/01.rli.0000236904.79265.68.
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Surgical treatment of diaphragmatic eventration using video-assisted thoracic surgery: a prospective study.胸腔镜手术治疗膈膨升的前瞻性研究
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