| 木合塔尔江·卡德尔郭丽任永芳刘炎陈杰.超声与CT 在肝脏囊型包虫病与非寄生虫性囊肿鉴别中的比较[J].,2012,12(8):1502-1505 |
| 超声与CT 在肝脏囊型包虫病与非寄生虫性囊肿鉴别中的比较 |
| Differential Diagnosis of Liver Echinococcosis and Simple Cysts:Compared with Ultrasound and Computed Tomography |
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| DOI： |
| 中文关键词: 肝包虫囊肿 肝脏非寄生虫性囊肿 CT 标准化分型 |
| 英文关键词: Diagnosis Echinococcosis Liver Computed tomography Ultrasound |
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| 中文摘要: |
| 目的：分析囊型包虫病的CT 以及超声的影像学特征以及联合诊断的效能，以减少对于CL 及Ⅰ型包虫囊肿误诊率。方法：
回顾性分析自2008 年1 月～2010 年9 月在我院行CT 和超声检查的包虫病患者22 例，肝脏单纯囊肿25 例，分析其表现并进行
比较。结果：CT 检出36 个病灶，超声检测出34 个病灶，单纯囊肿组和包虫组病灶分布及形态等无明显差别，22 例超声显示位于
包虫囊肿底部可以随体位运动棘球呦砂样改变，显示囊肿壁不规则增厚3 例，病灶周围胆管扩张2 例，CT 显示包虫囊肿壁钙化5
例，病灶周围胆管扩张3 例。结论：联合CT 和超声学检查可以帮助提高CEI 及CL 型包虫囊肿的诊断率。 |
| 英文摘要: |
| Objective: To analyze the ultrasonography and computedtomography (CT) imaging characteristics of Cystic
echinococcosis and their combination value in therapy, so as to reduce misdiagnosis rate of Cystic echinococcosis. Methods: 22 patients
with Cystic echinococcosis and 25 patients with liver simple cyst were performed CT and ultrasonography between January 2008 and
September 2010 in our hospital. The ultrasonography and CT scan findings were retrospectively analyzed and compared. Results: 36
focuses were detected out by CT and 34 focuses were detected out by ultrasonography. There were no difference in distribution and
shape of focus between liver echinococcosis and simple cysts group. Ultrasonography detection showed that 22 cases appeared layering
and movable echogenic hydatid sand, visible in the deep part of the cyst that moved along with patients' changing position, 3 cases had
focal or segmental wall thickening, and 2 cases had cholangiectasis around the focus. CT imaging showed calcification of the pericyst in
5 cases, and cholangiectasis around the focus in 3 cases. Conclusion: Combination use of ultrasonography and computedtomography
(CT) can increase diagnosis rate of liver echinococcosis in stage CEI or CL. |
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