中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
28期
59-60
,共2页
CT%肝吸虫病%诊断%临床价值
CT%肝吸蟲病%診斷%臨床價值
CT%간흡충병%진단%림상개치
CT%Liver fluke disease%Diagnosis%Clinical value
目的：探讨CT在肝吸虫病临床诊断中的价值。方法：回顾性分析2010年3月-2013年2月笔者所在医院收治的肝吸虫病患者110例患者的CT表现及临床资料。结果：110例患者经CT检查均表现为不同程度及不同形态的扩张，其中肝内胆管轻度扩张52例(47.27%)，中度扩张30例(27.27%)，重度扩张28例(25.45%)。扩张形态上，周围型61例(55.45%)，中央型22例(20.00%)，混合型27例(24.55%)。56例扩张的胆管内可见点状虫体软组织密度影。胆囊内见片絮状虫体软组织影者41例。合并胆囊结石48例。合并胆管炎30例，呈斑片状低密度影，边缘不清。合并肝脓肿8例，呈环形或蜂窝状强化。合并胆管癌9例，肝内胆管结石7例。增强扫描41例扩张胆管壁未见明显强化。57例肝有轻度肿大，5例合并肝硬化，36例伴有脂肪肝。结论：肝吸虫CT检查具有特征性表现，结合实验室检查及临床表现可明确诊断，值得在临床上予以推广。
目的：探討CT在肝吸蟲病臨床診斷中的價值。方法：迴顧性分析2010年3月-2013年2月筆者所在醫院收治的肝吸蟲病患者110例患者的CT錶現及臨床資料。結果：110例患者經CT檢查均錶現為不同程度及不同形態的擴張，其中肝內膽管輕度擴張52例(47.27%)，中度擴張30例(27.27%)，重度擴張28例(25.45%)。擴張形態上，週圍型61例(55.45%)，中央型22例(20.00%)，混閤型27例(24.55%)。56例擴張的膽管內可見點狀蟲體軟組織密度影。膽囊內見片絮狀蟲體軟組織影者41例。閤併膽囊結石48例。閤併膽管炎30例，呈斑片狀低密度影，邊緣不清。閤併肝膿腫8例，呈環形或蜂窩狀彊化。閤併膽管癌9例，肝內膽管結石7例。增彊掃描41例擴張膽管壁未見明顯彊化。57例肝有輕度腫大，5例閤併肝硬化，36例伴有脂肪肝。結論：肝吸蟲CT檢查具有特徵性錶現，結閤實驗室檢查及臨床錶現可明確診斷，值得在臨床上予以推廣。
목적：탐토CT재간흡충병림상진단중적개치。방법：회고성분석2010년3월-2013년2월필자소재의원수치적간흡충병환자110례환자적CT표현급림상자료。결과：110례환자경CT검사균표현위불동정도급불동형태적확장，기중간내담관경도확장52례(47.27%)，중도확장30례(27.27%)，중도확장28례(25.45%)。확장형태상，주위형61례(55.45%)，중앙형22례(20.00%)，혼합형27례(24.55%)。56례확장적담관내가견점상충체연조직밀도영。담낭내견편서상충체연조직영자41례。합병담낭결석48례。합병담관염30례，정반편상저밀도영，변연불청。합병간농종8례，정배형혹봉와상강화。합병담관암9례，간내담관결석7례。증강소묘41례확장담관벽미견명현강화。57례간유경도종대，5례합병간경화，36례반유지방간。결론：간흡충CT검사구유특정성표현，결합실험실검사급림상표현가명학진단，치득재림상상여이추엄。
Objective:To investigate the clinical value of CT in the clinical diagnosis of liver fluke disease.Method:A retrospective analysis for CT manifestations and clinical data of 110 patients admitted in our hospital with liver fluke disease from March 2010 to February 2013.Result:The CT examination of 110 cases were characterized by different levels and different forms of expansion,and there were 52 cases(47.27%) with intrahepatic bile duct mild expansion, 30 cases(27.27%) with moderate expansion,28 cases(25.45%) with severe expansion.In the expansion of the form,there were 61 cases(55.45%) with aroud type, 22 cases(20.00%) with the central type,27 cases(24.55%) with mixed.The soft tissue density shadow liking dot insect could be seen in the 56 cases of expansion bile duct.The soft tissue density shadow liking pieces of flocculent could be seen in 41 cases.48 cases with combined gallstones.30 cases with merger cholangitis, low density shadow like patchy,and the edges were not clear.8 cases with liver abscess,showing the circular or honeycomb reinforcement.9 cases with bile duct carcinoma,7 cases with intrahepatic bile duct stones.There were no significantly improved by enhanced scanning for 41 cases of dilated bile duct wall.57 cases had mild liver enlargement,5 cases with liver cirrhosis,36 cases with fatty liver.Conclusion:There are clinical manifestation with liver fluke CT examination,and it will be clear diagnosis if combined with laboratory tests and clinical diagnosis,and is worthy of promote in clinical.
