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肝包虫病的螺旋CT诊断
http://www.100md.com 《实用医技杂志》 2006年第14期
棘球蚴病;肝体层摄影;X线计算机,,],棘球蚴病;肝体层摄影;X线计算机,1材料与方法,2结果,3讨论,参考文献:
     [摘要] 目的:提高对肝包虫病的螺旋CT表现的认识。方法:回顾分析经本院螺旋CT检查及手术病理证实的21例肝包虫病螺旋CT表现。结果:囊型包虫病18例,其中单纯囊肿8例,表现为圆形水样密度区。多子囊型10例,表现为在一个大囊内可见数量不等的更低密度小圆形低密度区,边界清晰。钙化14例,为囊壁壳状钙化囊内不定形条片状钙化。包虫囊肿合并感染4例,表现为囊壁增厚,强化明显。泡型包虫病3例,呈不规则及不均匀密度影,所有病灶内均有钙化灶,其中1例病灶边缘有晕样改变区。所有病例CT均诊断正确。结论:螺旋CT可以很好显示肝包虫病病灶,对肝包虫病具有较高的诊断率。

    [关键词] 棘球蚴病;肝体层摄影;X线计算机

    SCT Diagnosis of Depatic Bydatid Disease

    DUAN Xuguang,ZHA Jie,YONG QING bazhen, et al

    (Linzhi People's Hospital,Tibet Autonomous Region,Linzhi,Xizang 860000,China)

    Abstract:Objective To analyze SCT feature of hydatid disease.Methods SCT findings in 21 cases with pathologically proved hepatic hydatid cyst were retrospectively analyed.Results 18 cases of cytle type hydatid cyst were found 8 lesions were of unilocular simple cyst type,which displayde as round lesion with homogeneous density as water.10 lesions were of multilocular type,within which daughter cysts with lower density could been seen.calcified lesions were seen in 14 cases,presenting cure or irreguler high density.lesions influenced were found in 4 cases,displayed as thick cyst wall which were obviously enhanced.3 lesions were of hepatic alveolar echinococcosis.The features of disease were irregular,heterogeneous density.almost of all accompanied with calcification.halo margin sereseen in 1 of 3.The CT diagnosis were right in all hepatic hydatid cyst cases.Conclusion SCT candiaplay well the lesions of hepatic hydatid cyst,and is of high value for the diagnosis of hepatid hydatid cyst. ......

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