李毅红,魏经国,王耀程,王新疆,黄进,白建军.正常胸腺的螺旋CT 表现[J].中国医学影像技术,2000,16(8):656~659
正常胸腺的螺旋CT 表现
Appearance of the Normal Thymus on Spiral CT
投稿时间:2000-01-17  
DOI:
中文关键词:  胸腺  CT
英文关键词:Thymus  CT
基金项目:
作者单位
李毅红 第四军医大学唐都医院放射科,陕西西安 710038 
魏经国 第四军医大学唐都医院放射科,陕西西安 710038 
王耀程 第四军医大学唐都医院放射科,陕西西安 710038 
王新疆 第四军医大学唐都医院放射科,陕西西安 710038 
黄进 第四军医大学唐都医院放射科,陕西西安 710038 
白建军 第四军医大学唐都医院放射科,陕西西安 710038 
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中文摘要:
      目的 总结正常胸腺的螺旋CT 表现。方法 对316 例,1~82 岁的病人进行胸部螺旋CT 扫描,依年龄分为7 组,测量每叶胸腺的厚度、宽度、奇静脉弓层面两叶胸腺面积和、胸腺平均CT 值,6 组数值进行统计学处理,并记录胸腺上下界及两外缘位置。结果 胸腺的厚度,59 岁以下均小于21mm ,60 岁以上部分胸腺厚度可达30 mm ,胸腺宽度随年龄的增长而增大,胸腺的密度随年龄的增长而减低,最终与脂肪密度相似,胸腺的面积和仅随年龄而变化,但变异系数较大。胸腺的上界不超过胸骨柄上缘,下界不超过左心室上缘,两外缘不超过上腔静脉、主动脉弓外缘,胸腺左叶通常大于右叶。结论 认识正常胸腺的螺旋CT 表现对异常胸腺的诊断有重要价值。
英文摘要:
      Purpose  To summarize the appearance of the normal thymus on spiral CT. Methods  Spiral CT scan of thymus was performed in 316 normal patients ,aged from 1 to 82 years old ,which was classified into seven groups. The thickness、width of both lobes ,CT attenuation value and the bilobe area of thymus in level of azygos vein were measured. Theedge and location of the thymus were recorded ,the result were analyzed statistically. Results  The thickness was less than21 mm under age 59 ,some cases were up to 30mm over 60 years of age. The width increase with the age ,the density decrease with the age ,finally approaching that of fat ,the bilobe area of the thymus changed with the age ,but a wide variationwas considorable. The location of the thymus is between the manubrium of sternum and upper edge of left ventricule ,thebilateral edges of thymus was smaller than the edge of superior cava vena or aortic arch. The left leaf of thymus was greaterthan right in most cases. And the diagnostic criterion of the abnormal thymus was discussed. Conclusion  Recognition ofvariations in size and shape of the normal thymus on spiral CT scan is of importance value at the diagnosis of the abnormalthymus.
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