Wey W, Hasse J, Herwig W, Vock P
HNO. 1980;28(9):308-12.
Computed tomography (CT) is of outstanding importance in the current diagnosis of mediastinal pathology. We have recently treated a patient who underwent laryngectomy and then experienced a septic temperature pattern during the postoperative period which was suspect of mediastinal abscess. A mediastinal CT was obtained, and uncovered a lesion in the anterior mediastinum. Although the test was unable to differentiate between an abscess and a degenerating metastasis, the test was instrumental in first revealing the presence of the lesion, localizing it exactly, and enabling an effective surgical approach to be used for exploring the mediastinum. This entailed an anterior mediastinotomy with partial resection of a rib.
计算机断层扫描（CT）在当前纵隔病变的诊断中具有极其重要的意义。我们最近治疗了一名接受喉切除术的患者，该患者在术后出现了败血症热型，怀疑患有纵隔脓肿。进行了纵隔CT检查，发现前纵隔有一个病变。尽管该检查无法区分脓肿和退化性转移瘤，但它首先揭示了病变的存在，精确地对其进行了定位，并使得能够采用有效的手术方法来探查纵隔。这需要进行前纵隔切开术并部分切除一根肋骨。
