胸部ct縱隔窗課件

1、胸部ct縱隔窗課件Sectional anatomy of mediastinum 李 振 平The medical college of shandong universitySectional anatomy of mediastiSup.Inf.Ant.Mid.Pos.Sternal angleManubrium sternidiaphragmSup.Inf.Ant.Mid.Pos.Sternal anSympathetic trunkAzygos V.Vagus N.esophagusdiaphragmSup.vena cavaR.P.A.R.P.V.pericardiumR.Prin

2、cipal bronchusSympathetic trunkAzygos V.VaguVagus N.L.P.V.pericardiumL.Principal bronchusdiaphragmL.P.A.Phrenic N.thymusAortic archL.Subclavian A.Thoracic aortaVagus N.L.P.V.pericardiumL.PriManubrium sterniSup.vena cavapericardiumR.auricleL.auricleAscending aortaAortic archR.ventricleL.ventricleR.L.

3、brachiocephalic V.Manubrium sterniSup.vena cavapSup.vena cavapericardiumAscending aortaR.ventricleL.ventricleR.auriclePulmonary trunkL.Subclavian A.L.C.carotid A.Brachiocephalic trunkaorticopulmonary windowSup.vena cavapericardiumAscendCoronary sinusSmall cardiac V.Middlecardiac V.great cardiac V.L.

4、atriumCoronary sinusSmall cardiac V.Pos.view of heartaorticopulmonary windowPos.view of heartaorticopulmonTransvers sinus .Oblique sinus .Transvers sinus .Oblique sin 美國胸科學會肺局部淋巴結(jié)圖American Thoracic Society map of regional pulmonary nodes, ATS 美國胸科學會肺局部淋巴結(jié)圖 一豎、四橫、一斜豎線 為氣管的正中垂線，區(qū)分開 氣管左、右側(cè)的淋巴結(jié)群第一條橫線 為經(jīng)

5、主動脈弓上緣的水平線， 將右側(cè)的氣管旁淋巴結(jié)分為上方的2R區(qū)和下方的4R區(qū)， 將左側(cè)的氣管旁淋巴結(jié)分為上方的2L區(qū)和下方的4L區(qū)第二條橫線 為經(jīng)奇靜脈弓上緣的水平線，分開4R區(qū)和10R區(qū) 一豎、四橫、一斜 一豎、四橫、一斜第三條橫線 為經(jīng)氣管隆嵴上緣的水平線， 分開4L區(qū)和10L區(qū)；第四條橫線 為經(jīng)左肺下葉支氣管起始部的水平線， 為7區(qū)的下界和11L區(qū)的上界。斜 線 為自右肺上葉支氣管起始部斜向右上的線， 是10R區(qū)和11R區(qū)的分界。 一豎、四橫、一斜R. upper paratracheal Ln.L. upper paratracheal Ln.L. lower paratracheal

6、Ln.R. lower paratracheal Ln.Subcarinal Ln.R. upper paratracheal Ln.L. upaortopulmonary Ln.Ant. mediastinal Ln. aortopulmonary Ln.Ant. mediast 肺局部淋巴結(jié)ATS圖注解 X 鎖骨上淋巴結(jié) supraclavicular nodes 2R 右上氣管旁淋巴結(jié) right upper paratracheal nodes 2L 左上氣管旁淋巴結(jié) left upper paratracheal nodes 4R 右下氣管旁淋巴結(jié) right lower parat

7、racheal nodes 4L 左下氣管旁淋巴結(jié) left lower paratracheal nodes 肺局部淋巴結(jié)ATS 肺局部淋巴結(jié)ATS圖注解 5 主動脈肺淋巴結(jié) aortopulmonary nodes 6 前縱隔淋巴結(jié) anterior mediastinal nodes 7 隆嵴下淋巴結(jié) subcarinal nodes 8 食管旁淋巴結(jié) paraesophageal nodes 9 肺韌帶淋巴結(jié) right or left pulmonary ligament nodes 10R右氣管支氣管淋巴結(jié) right pulmonary ligament nodes 10L 左氣

8、管支氣管淋巴結(jié) left peribronchial nodes 11 肺內(nèi)淋巴結(jié) intrapulmonary nodes 肺局部淋巴結(jié)ATS圖注解The transvers section of mediastinumThe transvers section of mediTransverse section through venous anglesEAAATRBVLBVTransverse section through venTransverse section through sup. part sternoclavicular jointELBVAAATRBVTransvers

9、e section through supTransverse section through inf. part sternoclavicular jointEAAATLBVRBVTransverse section through infTransverse section through 1th. Sternocostal synochodrosisEAAATLBVRBVTransverse section through 1thTransverse section through sup. part of aortic archERBVAAATLBVTransverse section

10、 through supTransverse section through aortic archESVCAATTransverse section through aorTransverse section through aorticopulmonary windowEAVSVCa aTATTransverse section through aorTransverse section through L.pulmonary A.LPBESVCa aLPATAAVRPBTransverse section through L.pTransverse section through R.p

11、ulmonary A.ESVCa aLPARPATARPBLPBPTTransverse section through R.pTransverse section through L.auricleESVCa aRPATARPBLPBPTTransverse section through L.aTransverse section through R. sup.pulmonary V.EVVARVLASVCa aRPARPBTransverse section through R.Transverse section through R. inf.pulmonary V.ETARVLAa

12、aTransverse section through R. Transverse section through aortic orificeERVLARAA OTATransverse section through aorTransverse section through fossa ovalisERVLVLARATATransverse section through fosTransverse section through 8th thoracic vertebraERVLVLARATATransverse section through 8thTransverse sectio

13、n through coronary sinusEIVCRVLVTATransverse section through corTransverse section through sup.part of 9th thoracic vertebraEIVCRVLVTATransverse section through supTransverse section through cardiac apexEIVCRVTATransverse section through carTransverse section through second porta hepatisEIVCRVTATransverse section through sec The transverse scan of mediastinum by CT mediastinal window The transverse scan of me胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct縱隔窗課件胸部ct