河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
2期
275-278
,共4页
磁共振成像%包虫病%肝脏%棘球蚴%泡球蚴
磁共振成像%包蟲病%肝髒%棘毬蚴%泡毬蚴
자공진성상%포충병%간장%극구유%포구유
Magnetic resonance imaging%Hydatidosis%Liver%Hydatid cyst of echinococcus%Multilocularis
目的：观察肝包虫病在磁共振( MRI)平扫及增强扫描下的表现,探讨磁共振对肝包虫病的诊断准确率。方法：回顾性分析在我院治疗并且经手术病理证实为肝包虫患者30例,对其术前行MRI检查下表现及诊断阳性率进行分析。结果：在30例患者中,细粒棘球蚴病患者共25例,泡球蚴病患者5例。共发现包虫囊肿53个,病灶大小为1.7~11.7cm,为多房型囊肿42个,单房型囊肿9个。MRI诊断阳性患者29例,其中细粒棘球蚴病24例,泡球蚴病5例,诊断阳性率为96.7%(29/30)。MRI平扫中,囊液T1 WI呈低信号,T2 WI呈高信号,囊壁T1 WI稍高于囊液信号,T2 WI呈相对低信号,囊肿周围肝组织信号无异常,囊腔周围无晕环。增强扫描,仅2例患者包囊囊壁有轻度强化。结论：MRI对肝包虫病诊断价值高,可以清晰显示病变的部位及信号特征,对其定位、定量及定性诊断价值较高,可以作为对肝包虫病的补充诊治手段。
目的：觀察肝包蟲病在磁共振( MRI)平掃及增彊掃描下的錶現,探討磁共振對肝包蟲病的診斷準確率。方法：迴顧性分析在我院治療併且經手術病理證實為肝包蟲患者30例,對其術前行MRI檢查下錶現及診斷暘性率進行分析。結果：在30例患者中,細粒棘毬蚴病患者共25例,泡毬蚴病患者5例。共髮現包蟲囊腫53箇,病竈大小為1.7~11.7cm,為多房型囊腫42箇,單房型囊腫9箇。MRI診斷暘性患者29例,其中細粒棘毬蚴病24例,泡毬蚴病5例,診斷暘性率為96.7%(29/30)。MRI平掃中,囊液T1 WI呈低信號,T2 WI呈高信號,囊壁T1 WI稍高于囊液信號,T2 WI呈相對低信號,囊腫週圍肝組織信號無異常,囊腔週圍無暈環。增彊掃描,僅2例患者包囊囊壁有輕度彊化。結論：MRI對肝包蟲病診斷價值高,可以清晰顯示病變的部位及信號特徵,對其定位、定量及定性診斷價值較高,可以作為對肝包蟲病的補充診治手段。
목적：관찰간포충병재자공진( MRI)평소급증강소묘하적표현,탐토자공진대간포충병적진단준학솔。방법：회고성분석재아원치료병차경수술병리증실위간포충환자30례,대기술전행MRI검사하표현급진단양성솔진행분석。결과：재30례환자중,세립극구유병환자공25례,포구유병환자5례。공발현포충낭종53개,병조대소위1.7~11.7cm,위다방형낭종42개,단방형낭종9개。MRI진단양성환자29례,기중세립극구유병24례,포구유병5례,진단양성솔위96.7%(29/30)。MRI평소중,낭액T1 WI정저신호,T2 WI정고신호,낭벽T1 WI초고우낭액신호,T2 WI정상대저신호,낭종주위간조직신호무이상,낭강주위무훈배。증강소묘,부2례환자포낭낭벽유경도강화。결론：MRI대간포충병진단개치고,가이청석현시병변적부위급신호특정,대기정위、정량급정성진단개치교고,가이작위대간포충병적보충진치수단。
Objective:To observe the magnetic resonance ( MRI) plain and enhanced scan performance of hepatic echinococcosis, to investigate the accuracy of MRI diagnosis of hepatic echinococcosis. Method:A retrospective analysis of 30 cases of hydatid disease of liver in our hospital and confirmed by operation and pathology were chosen as research subjects. The preoperative MRI examination findings and diagnostic posi-tive rate were analyzed. Result:Among the 30 patients, there were 25 patients with cystic echinococcosis, 5 patients with bubble hydatid disease. MRI diagnosis of 29 cases of patients, 24 cases of hydatid disease, 5 cases of hydatid disease bubble, The diagnostic positive rate was 96.7% (29/30).MRI scanning, cyst fluid T1 WI showed low signal, T2 WI showed high signal, MRI scanning, cyst fluid T1 WI showed low signal, T2 WI showed high signal, The cyst wall was slightly higher than that of cyst fluid of T1 WI signal, T2 WI showed relatively low signal, Cyst of liver tissue around the signal without exception, no halo around the cav-ity. Enhanced scanning, only 2 cases cyst walls mild enhancement. Conclusion:The value of MRI in the di-agnosis of hepatic hydatid disease is high, can clearly show the location and signal characteristics of lesions, The higher the positioning, quantitative and qualitative diagnosis, can be used as a supplementary means of diagnosis and treatment of hepatic hydatid cyst.
