CT在肝吸虫病临床诊断中的价值分析(1)
【摘要】 目的：探讨CT在肝吸虫病临床诊断中的价值。方法：回顾性分析2010年3月-2013年2月笔者所在医院收治的肝吸虫病患者110例患者的CT表现及临床资料。结果：110例患者经CT检查均表现为不同程度及不同形态的扩张，其中肝内胆管轻度扩张52例(47.27%)，中度扩张30例(27.27%)，重度扩张28例(25.45%)。扩张形态上，周围型61例(55.45%)，中央型22例(20.00%)，混合型27例(24.55%)。56例扩张的胆管内可见点状虫体软组织密度影。胆囊内见片絮状虫体软组织影者41例。合并胆囊结石48例。合并胆管炎30例，呈斑片状低密度影，边缘不清。合并肝脓肿8例，呈环形或蜂窝状强化。合并胆管癌9例， 肝内胆管结石7例。增强扫描41例扩张胆管壁未见明显强化。57例肝有轻度肿大，5例合并肝硬化， 36例伴有脂肪肝。结论：肝吸虫CT检查具有特征性表现，结合实验室检查及临床表现可明确诊断，值得在临床上予以推广。
【关键词】 CT； 肝吸虫病； 诊断； 临床价值
, 百拇医药
中图分类号 R383.2 文献标识码 B 文章编号 1674-6805(2014)28-0059-02
Clinical Value Analysis of CT in the Clinical Diagnosis of Liver Fluke Disease/SHEN Xiao-bin，HUANG Yong-sui.//Chinese and Foreign Medical Research，2014，12(28)：59-60
【Abstract】 Objective：To investigate the clinical value of CT in the clinical diagnosis of liver fluke disease.Method：A retrospective analysis for CT manifestations and clinical data of 110 patients admitted in our hospital with liver fluke disease from March 2010 to February 2013.Result：The CT examination of 110 cases were characterized by different levels and different forms of expansion，and there were 52 cases(47.27%) with intrahepatic bile duct mild expansion，30 cases(27.27%) with moderate expansion，28 cases(25.45%) with severe expansion.In the expansion of the form，there were 61 cases(55.45%) with aroud type，22 cases(20.00%) with the central type，27 cases(24.55%) with mixed.The soft tissue density shadow liking dot insect could be seen in the 56 cases of expansion bile duct.The soft tissue density shadow liking pieces of flocculent could be seen in 41 cases.48 cases with combined gallstones.30 cases with merger cholangitis，low density shadow like patchy，and the edges were not clear.8 cases with liver abscess，showing the circular or honeycomb reinforcement.9 cases with bile duct carcinoma，7 cases with intrahepatic bile duct stones.There were no significantly improved by enhanced scanning for 41 cases of dilated bile duct wall.57 cases had mild liver enlargement，5 cases with liver cirrhosis，36 cases with fatty liver.Conclusion：There are clinical manifestation with liver fluke CT examination，and it will be clear diagnosis if combined with laboratory tests and clinical diagnosis，and is worthy of promote in clinical.
, 百拇医药
【Key words】 CT； Liver fluke disease； Diagnosis； Clinical value
First-author’s address：Guicheng Hospital in Nanhai District of Foshan City，Foshan 528200，China
肝吸虫病是由华支睾吸虫寄生于人体胆道所引起的以肝胆病变为主的一种人兽共患性寄生虫病，本病多分布在亚洲，通过吃未熟的淡水鱼而感染。临床主要表现为胆管胆囊炎、胆石症等，并可引起多种并发症。肝吸虫病的诊断主要依靠血液检查、免疫学检查、寄生虫学检查及影像学检查，其中影像学检查主要通过B超及CT检查。CT检查可见肝内胆管从肝门向四周均匀扩张，肝外胆管无明显扩张，肝内胆管扩张，胆管的直径与长度比多小于1∶10，囊状扩张的胆小管以肝周边分布为主，管径相近，少数可见不规则组织块影。近年来，笔者所在医院通过回顾性分析收治的110例肝吸虫患者的CT检查及临床资料，探讨CT在肝吸虫病临床诊断中的临床价值，取得了较好的结果，现报道如下。, 百拇医药(沈小斌 黄永穗)
【关键词】 CT； 肝吸虫病； 诊断； 临床价值
, 百拇医药
中图分类号 R383.2 文献标识码 B 文章编号 1674-6805(2014)28-0059-02
Clinical Value Analysis of CT in the Clinical Diagnosis of Liver Fluke Disease/SHEN Xiao-bin，HUANG Yong-sui.//Chinese and Foreign Medical Research，2014，12(28)：59-60
【Abstract】 Objective：To investigate the clinical value of CT in the clinical diagnosis of liver fluke disease.Method：A retrospective analysis for CT manifestations and clinical data of 110 patients admitted in our hospital with liver fluke disease from March 2010 to February 2013.Result：The CT examination of 110 cases were characterized by different levels and different forms of expansion，and there were 52 cases(47.27%) with intrahepatic bile duct mild expansion，30 cases(27.27%) with moderate expansion，28 cases(25.45%) with severe expansion.In the expansion of the form，there were 61 cases(55.45%) with aroud type，22 cases(20.00%) with the central type，27 cases(24.55%) with mixed.The soft tissue density shadow liking dot insect could be seen in the 56 cases of expansion bile duct.The soft tissue density shadow liking pieces of flocculent could be seen in 41 cases.48 cases with combined gallstones.30 cases with merger cholangitis，low density shadow like patchy，and the edges were not clear.8 cases with liver abscess，showing the circular or honeycomb reinforcement.9 cases with bile duct carcinoma，7 cases with intrahepatic bile duct stones.There were no significantly improved by enhanced scanning for 41 cases of dilated bile duct wall.57 cases had mild liver enlargement，5 cases with liver cirrhosis，36 cases with fatty liver.Conclusion：There are clinical manifestation with liver fluke CT examination，and it will be clear diagnosis if combined with laboratory tests and clinical diagnosis，and is worthy of promote in clinical.
, 百拇医药
【Key words】 CT； Liver fluke disease； Diagnosis； Clinical value
First-author’s address：Guicheng Hospital in Nanhai District of Foshan City，Foshan 528200，China
肝吸虫病是由华支睾吸虫寄生于人体胆道所引起的以肝胆病变为主的一种人兽共患性寄生虫病，本病多分布在亚洲，通过吃未熟的淡水鱼而感染。临床主要表现为胆管胆囊炎、胆石症等，并可引起多种并发症。肝吸虫病的诊断主要依靠血液检查、免疫学检查、寄生虫学检查及影像学检查，其中影像学检查主要通过B超及CT检查。CT检查可见肝内胆管从肝门向四周均匀扩张，肝外胆管无明显扩张，肝内胆管扩张，胆管的直径与长度比多小于1∶10，囊状扩张的胆小管以肝周边分布为主，管径相近，少数可见不规则组织块影。近年来，笔者所在医院通过回顾性分析收治的110例肝吸虫患者的CT检查及临床资料，探讨CT在肝吸虫病临床诊断中的临床价值，取得了较好的结果，现报道如下。, 百拇医药(沈小斌 黄永穗)