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作者在364例门脉高压X线检查中发现12例合并纵隔瘤样静脉曲张。较系统地介绍了胸部平片、食道造影、胃冠状静脉造影和CT表现。同时讨论了本病形成的病理基础和诊断与鉴别诊断。作者认为胸片显示的“双边缘”征象和食道造影出现的浅弧形外压性改变系两种新的有价值的征象,前者由食道旁静脉性肿块与扩张的半奇静脉重叠形成,而后者则由食道旁静脉性肿块所致。CT在诊断和鉴别诊断中非常有用。
The authors found 12 cases of mediastinal tumor-like varicosities in 364 cases of portal hypertension. Chest radiographs, esophageal radiography, gastric coronary venography, and CT were systematically described. At the same time, the pathological basis, diagnosis and differential diagnosis of this disease were discussed. The author believes that the “double-edge” sign displayed on the chest radiograph and the shallow arc external pressure changes appearing in the esophagogram are two new signs. The former is formed by the overlap of the paraesophageal venous mass with the expanded semi-ovary vein, and the latter The result was a paraesophageal venous mass. CT is very useful in diagnosis and differential diagnosis.