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Plain scan and enhanced scan were performed in these patients with Siemens 64-slice spiral CT with the following parameters: 1.0-mm section thickness,0.6-mm collimation,pitch of 1, voltage of 120Kv and tube current of 100mAs, The scanning range is from the thoracic inlet to posterior costophrenic angle; A 80-100ml dose of nonionic iodinated contrast material is injected intravenously at approximately 4-5 ml/sec.

扫描采用Siemens 64层螺旋CT;扫描参数选择层厚1 mm,准直0.6mm,螺距1,管电压120 kV,电流100 mAs;扫描范围从胸廓上口至后肋膈角;强化时对比剂为非离子型对比剂(碘海醇,350 mg I/ml),注射流率4~5 ml/s,对比剂总量80~100 ml;采用人工智能触发扫描技术,触发点选择肺动脉主干横断层面,阈值为100 HU,触发扫描延迟时间为6 s。

OBJECTIVE: To study diagnostic significance of electrophysiological examination to thoracic outlet syndrome.

目的:探讨电生理检测对胸廓出口综合征的诊断意义。

In the period of infant children mainly by abdominal breathing, and waist trousers on the elastic will affect children's normal breathing, and may cause child thoracic ribs evaginate deformity.

儿童在婴幼儿期主要靠腹式呼吸为主,而束腰裤上的松紧带会影响孩子的正常呼吸,而且可能引起孩子胸廓肋骨外翻畸形。

Results Osseous metastasis was found in 22 cases out of the 107 cases with the positive rate of 20.6%: osseous metastasis occurred in 4 cases with no osteodynia, single metastasis in 9 cases and multi-metastasis in 13 cases; the location of osseous metastasis ranged as follows: 61 metastasis in thoracic cage, 41 in pelvis, 39 in vertebral column, 8 in four limbs and 4 in skull; along with the prolongation of the follow-up, the positive rate of osseous metastasis increased.

结果 107例中发现骨转移22例,阳性率20.6%。其中无骨痛患者发生骨转移4例,单发转移9例,多发转移13例。发现骨转移灶的部位依次为胸廓(61处)、骨盆(41处)、脊柱(39处)、四肢(8处)及头颅(4处)。随乳腺癌术后回访年限的增加,骨转移阳性率增加。

Objective To discuss the CT and clinical manifestations of paratracheal air cysts in the thoracic inlet.

目的 探讨胸廓入口区气管旁含气囊肿的CT及临床表现。

Methods Data of 45 cases of paratracheal air cysts in the thoracic inlet found with conventional CT examination were analyzed for their location, size, form, margin, clinical symptoms and the manifestations in bog.

总结45例胸部常规CT扫描中发现的胸廓人口区气管旁含气囊肿,分析其部位、大小、形态、边缘、临床症状及肺部CT表现。

On the way down, it gies off some branches, such as the pericardiophrenic branch and the anterior intercostal arteries, and it is cloaked by enae comitanes, which drain to the respectie brachiocephalic ein ia the internal thoracic ein.9

在下降途中,它发出一些分支如心包膈动脉、肋间前动脉,并被伴行静脉覆盖,这些静脉通过胸廓内静脉引流至相应的头臂静脉。

objective according to 14 cases of patients with post-traumatic bronchial rupture of the ct and x-ray findings.analysis of its causes,trauma type,and ct,x-ray value and the advantages and disadvantages.methods 14 cases of bronchial rupture in patients with clinical data,x-ray,ct-chip analysis and summing up.results traumatic bronchial rupture study the performance of the main image①bronchial cut-off levy;②atelectasis and pulmonary fall levy③pleural effusion,pneumatosis;④mediastinum,subcutaneous emphysema;⑤many thoracic fractures;⑥traumatic wet lung,and so on.conclusion for traumatic bronchial rupture combined with x-ray and ct examination can be clearly diagnosed early.

目的 根据14例患者外伤后支气管断裂的ct和x线表现,分析其起因、外伤类型和ct、x线应用价值及优劣势。方法对14例支气管断裂患者的临床资料、x线平片、ct片进行分析、总结。结果外伤性支气管断裂的主要影像学表现①支气管截断征;②肺不张与肺坠落征;③胸腔积液、积气;④纵隔、皮下气肿;⑤胸廓多发骨折;⑥合并创伤性湿肺等。结论对于外伤性支气管断裂结合x线摄片和ct检查是可以早期明确诊断的。

Six months later, compare the therapeutic effect of two groups, body function, activity index number of pathogenetic condition, total self-assessment, rachialgia, rachiodynia rhachitis, activity of thoracic skeleton, schober, distance between fingers and ground, antisternum hypsokinesis, ESR, C reactive protein have statistics difference, others have no statistics difference. Conclusion: Two rattan mixture has the certain therapeutic effect of theating Ankylosing Spondylitis.

治疗6个月后,二藤合剂组与柳氮磺吡啶组比较,患者躯体功能、病情活动指数、总体自我评价、脊柱痛、脊柱炎症、胸廓活动度、Schober、指地距、脊柱后仰、血沉、C反应蛋白的改善有统计学差异(P<0.05),余观察指标两组间比较无统计学差异。

Every indicatrion has statistics difference after six mouthstreatment of Two rattan mixture which include body function, activity index number of pathogenetic condition, total swelling arthrosis, total self-assessment, rachialgia, rachiodynia rhachitis, activity of thoracic skeleton, schober, distance between fingers and ground, left flection of antisternum, right flection of antisternum, antisternum hypsokinesis, distance between head and wall, ESR, C reactive protein: every indicatrion has statistics difference after the treatment of Sulfasalazine except the indicatrion of distance between head and wall.

二藤合剂组治疗6个月后其各项观察指标(包括躯体功能、病情活动指数、肿胀关节总数、总体自我评价、脊柱痛、脊柱炎症,胸廓活动度、Schober、指地距、脊椎左屈、脊椎右屈、脊椎后仰、枕墙距、血沉、C反应蛋白)与治疗前相比,均有统计学差异(P<0.05);柳氮磺吡啶组除枕墙距外,其余观察指标亦均有统计学差异(P<0.05)。

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