20例心包囊肿的临床诊治体会

Clinical diagnosis and treatment of 20 patients with pericardial cyst

关键词:  心包囊肿  胸部CT  诊断  治疗

Key words:  pericardial cysts  chest CT  diagnosis  treatment

摘要:

［目的］探讨心包囊肿的临床特征，提高对该病的诊治水平。［方法］对20例经手术及病理证实心包囊肿患者的临床资料，影像学特点及手术方法进行总结分析。［结果］全部病例均行CT检查，胸部正位片13例，MRI检查4例，超声检查8例。其中病变发生在右心膈角区11例（55%），左心膈角4例（20%），不典型位置心包囊肿5例（25%）；囊肿约1.0 cm×2.0 cm～9.8 cm×14.0 cm。20例均经手术治疗，其中13例选择胸腔镜方式，7例选择常规开胸方式。术中完整切除肿物，无手术死亡及并发症。［结论］心包囊肿具有典型的影像学特征，CT可作为诊断的主要方法，确诊后可考虑手术治疗。

Abstract:

［Objective］To explore the clinical features of pericardial cyst and improve the diagnosis and treatment of the disease.［Methods］Twenty patients with pericardial cyst confirmed by surgery and pathology in our hospital were analyzed from clinical data, imaging features and surgical methods.［Results］There were CT image in all patients, X-ray in 13 cases, MRI in 4 cases, ultrasound in 8 cases.In the patients, the lesions located in right cardial phrentc angle were 11 cases (55%), in left cardial phrenic were 4 (20%), atypically located pericardial cysts were 5 (25)%. The size of cysts was 1.0 cm × 2.0 cm to 9.8 cm ×14.0 cm. All of them were treated by surgery, of which 13 cases of video thoracoscope, seven cases of general thoracic surgery. All cases were completely excised without a mortality or significant complication.［Conclusions］ Pericardial cyst has typical imaging features and CT can be the first choice of diagnosis. Pericardial cyst can be considered to use the treatment of surgery after diagnosis. Key words: pericardial cysts; chest CT; diagnosis; treatment.