【摘要】 本文报告了138例经手术病理证实的肝包虫病的CT表现,包括103例肝细粒棘球蚴病和35例肝泡状棘球蚴病。两型包虫病的CT表现各有其特征:前者表现为边缘光滑、密度均匀的囊肿,CT值近于水。而囊壁的显示及钙化、子囊出现和囊膜剥离征象则具有特征性;后者的CT特点为不规则的低密度灶内常伴钙化、病灶中心液化坏死,周边部见到小囊泡,邻近肝边缘收缩内陷,健叶代偿性肥大,其中以小囊泡征象和钙化最为重要,文章着重讨论了本病CT表现的病理基础。更多还原

【Abstract】 CT findings of hepatic echinococcosis were presented, including 103 cases of hepatic echinococcus granulosus and 35 cases of hepatic alveolar echinococcus. The diagnosis was confirmed by operation and pathologic examination. The main pattern of the hepatic echinococcus granulosus revealed oval or rounded smooth cystic wall with watery density. The predominate signs were presence of cystic wall, rimcalcification, daughter cyst and detached membrane. The characterizations of hepatic alveolar echinococcus were heterogeneous and hypodense area, accompaned different amount of calcification and periphery lacunas images complicated by central liquified necrosis. A lot of lesions results retraction image of affected hepatic segment while the healthy lobe tends compensatory hypertrophy. The correlation between CT and pathological findings of the disease was reviewed.更多还原