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慢性脑血吸虫病的影像学特征与临床诊断

Imageology Characteristics and Clinical Diagnosis of Cerebral Schistosomiasis

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【作者】 周仁辉; 李志峰; 张飞翔; 童仲池;

【Author】 ZHOU Ren-hui,LI Zhi-feng,ZHANG Fei-xiang,et al(Department of Neurosurgery,Yueyang Second Renmin Hospital,Hunan 414000)

【机构】 湖南省岳阳市二人民医院神经外科; 湖南省岳阳市二人民医院神经外科 湖南岳阳414000; 湖南岳阳414000;

【摘要】 【目的】探讨脑血吸虫的影像学特征以提高临床诊断准确率。【方法】回顾性分析21例脑血吸虫患者的临床资料、影像学表现。【结果】所有病例均为慢性血吸虫病,14例经病原学确诊后行内科治疗,7例因为误诊为“脑肿瘤”或脑疝行手术治疗。脑血吸虫病的CT与MRI表现具有特征性。【结论】结合病史、起病症状、影像学及病原学检查综合分析可以提高脑血吸虫病的诊断率。

【Abstract】 【Objective】To explore the characteristics of imageology in cerebral schistosomiasis and the method to enhance the accurate diagnosis.【Methods】Clinical data,laboratory examination,CT and MRI results in 21 cases of cerebral schistosomiasis were analysed retrospectively.【Results】All the cases were of chronic cerebral schistosomiasis in which 14 cases were treated by medicine after final diagnosis and 7 cases were treated by surgery because of misdiagnosis as "brain tumor" or brain hernia.CT and MRI appearance was characteristic.【Conclusion】Combination of history、symptom、imageology and aetiology examination can enhance the accurate diagnosis of cerebral schistosomiasis.

  • 【文献出处】 医学临床研究 ,Journal of Clinical Research , 编辑部邮箱 ,2007年07期
  • 【分类号】R532.21
  • 【被引频次】2
  • 【下载频次】82
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