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肝泡球蚴病的CT诊断

CT Diagnosis in Hepatic Alveolar Echinococcosis

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【作者】 姚云清刘约翰王小根

【Author】 Yao Yun-qing;Liu Yue-han;Wang Xiaogen. (Institute of Infectious and Parasitic Diseases,Chongqing University of Medical Sciences Chongqing 630042)

【机构】 重庆医科大学传染病寄生虫病研究所

【摘要】 笔者报告18例肝泡球蚴病(泡型包虫病)的CT表现,主要特征为形态不规则、周界不清、密度不均(CT值:—10~+40HU)病灶,内部或/和周边有多少不等的斑片状钙化(CT值:+90~+370HU);增强扫描病灶密度无变化。地图征型12例,假囊型3例,周边晕影型3例。单发8例,多发10例。笔者探讨了该病CT表现的病理基础及其与B超检查的相关性,并分析了该病与肝细粒棘球蚴病(囊型包虫病)和原发性肝癌的鉴别。

【Abstract】 The CT findings of 18 cases of hepatic alveolar echinococcosis(alveolar hydatidosis) were analysed,including simple alveolar lesion in 8 cases and multiple lesions in 10 cases. The main CT features of the disease were irregular, heterogeneous lesions with ill-defined contour in the liver,having both hypodense(-10~+40HU)areas and calcifications (90~370HU).No significant enhancement was observed with in the lesions after administrtion of intravenous contrast medium. The correlation between CT and pathological findigs and US was reviewed.ifferential diagnosis with hepat-ic echinococcus granufosus(cystic hydatidosis)and primary hepatic carcinoma was also discussed.

【关键词】 棘球蚴病断层摄影术X线计算机
【Key words】 Echinococcosisliver TomographyX-ray computed
  • 【文献出处】 中华放射学杂志 ,CHINESE JOURNAL OF RADIOLOGY , 编辑部邮箱 ,1994年09期
  • 【分类号】R532.320.4
  • 【被引频次】32
  • 【下载频次】50
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