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[儿童膈肌异常的γ射线造影诊断]

[Gammagraphic diagnosis of diaphragmatic abnormalities in children].

作者信息

Morales Guzmán O, Avila Ramírez E

出版信息

Bol Med Hosp Infant Mex. 1978 Mar-Apr;35(2):225-34.

PMID:626649
Abstract

Hepatic and lung scanning were evaluated as complement methods of congenital defects in the diaphragm, 14 cases were evaluated in which the scan showed alteration on the morphology and function of the liver or lung. On 13 cases correlation was found between the surgical diagnosis and the scan. In 4 cases with diaphragmatic hernia (2 Morgagni and 2 Bochdalek) the scan showed that one portion of the hepatic tissue was localized in the thoracic cavity and in one case of diaphragmatic agenesis in the scan the liver occupied the whole right hemithorax. In 9 cases of diaphragmatic eventration the scan showed alteration of the pulmonary perfussion in large or small areas and generally the hepatic image was displaced towards the thorax. These results showed that the scanning is a trustworthy method and of great help in the diagnosis of congenital diaphragmaic malformations.

摘要

肝脏和肺部扫描被评估为诊断先天性膈缺陷的辅助方法,对14例进行了评估,扫描显示肝脏或肺部的形态和功能有改变。在13例中,手术诊断与扫描结果存在相关性。在4例膈疝(2例莫尔加尼氏疝和2例博赫dalek氏疝)中,扫描显示部分肝组织位于胸腔内,在1例膈缺如的扫描中,肝脏占据了整个右半胸。在9例膈膨出中,扫描显示大面积或小面积的肺灌注改变,通常肝脏影像向胸腔移位。这些结果表明,扫描是一种可靠的方法,对先天性膈畸形的诊断有很大帮助。

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