中国血吸虫病防治杂志
中國血吸蟲病防治雜誌
중국혈흡충병방치잡지
CHINESE JOURNAL OF SCHISTOSOMIASIS CONTROL
2007年
4期
268-273,Ⅰ-Ⅱ
,共7页
吴明灿%陈世洁%罗国才%刘建雄%余辉%李茂坤%张志文%闵杰%姚远
吳明燦%陳世潔%囉國纔%劉建雄%餘輝%李茂坤%張誌文%閔傑%姚遠
오명찬%진세길%라국재%류건웅%여휘%리무곤%장지문%민걸%요원
脑型血吸虫病%CT%MRI%脑脊液%免疫学检查%诊断
腦型血吸蟲病%CT%MRI%腦脊液%免疫學檢查%診斷
뇌형혈흡충병%CT%MRI%뇌척액%면역학검사%진단
Cerebral schistosomiasis%CT%MRI%Cerebral spine fluid(CSF)%Immunoassay%Diagnosis
目的 探讨脑型血吸虫病的临床特点及诊断方法.方法 回顾性分析42例脑型血吸虫病的CT、 MRI及脑脊液(CSF)免疫学检查资料.结果 通过影像学及免疫学检查确诊40例,1例不能完全排除脑肿瘤通过术后病理检查确诊,1例高度怀疑脑型血吸虫病经吡喹酮诊断治疗证实.结论 CT及MRI对脑型血吸虫病的定位和定性诊断有很大价值.MRI在显示主要病理改变时,其敏感性和准确性均较CT高.CSF免疫学检查对脑型血吸虫病鉴别诊断有重要价值.
目的 探討腦型血吸蟲病的臨床特點及診斷方法.方法 迴顧性分析42例腦型血吸蟲病的CT、 MRI及腦脊液(CSF)免疫學檢查資料.結果 通過影像學及免疫學檢查確診40例,1例不能完全排除腦腫瘤通過術後病理檢查確診,1例高度懷疑腦型血吸蟲病經吡喹酮診斷治療證實.結論 CT及MRI對腦型血吸蟲病的定位和定性診斷有很大價值.MRI在顯示主要病理改變時,其敏感性和準確性均較CT高.CSF免疫學檢查對腦型血吸蟲病鑒彆診斷有重要價值.
목적 탐토뇌형혈흡충병적림상특점급진단방법.방법 회고성분석42례뇌형혈흡충병적CT、 MRI급뇌척액(CSF)면역학검사자료.결과 통과영상학급면역학검사학진40례,1례불능완전배제뇌종류통과술후병리검사학진,1례고도부의뇌형혈흡충병경필규동진단치료증실.결론 CT급MRI대뇌형혈흡충병적정위화정성진단유흔대개치.MRI재현시주요병리개변시,기민감성화준학성균교CT고.CSF면역학검사대뇌형혈흡충병감별진단유중요개치.
Objective To explore the clinical characteristics and diagnostic methods of cerebral schistosomiasis.Methods The data of CT,MRI and the cerebral spine fluid(CSF) immunoassay in 42 patients with cerebral schistosomiasis were analyzed retrospectively.Results Forty cerebral schistosomiasis patients were diagnosed by the iconography and immunoassay,1 by the postoperative pathological examination and 1 by diagnostic treatment with praziquantel.Conclusions CT and MRI are of great value to determination of the position and nature of the cerebral schistosomiasis.The sensitivity and accuracy of MRI are better for indicating the main pathological changes of the disease than those of CT.The CSF immunoassay plays an important role in the differential diagnosis of cerebral schistosomiasis.
