CAJ | 학술논문

目的：研究分析慢性血吸虫病腹部CT的征象，与慢性血吸虫病的病理进行对照研究，进一步提升对慢性血吸虫病的诊断准确度和治疗效果。方法对368例慢性血吸虫病患者均进行腹部CT平扫和增强扫描；所有患者的手术标本和病理切片进行病理检查。结果腹部CT结果显示，所选取的患者中肝脏钙化346例，所占比例为94.02%，主要表现为地图样钙化；肝硬化234例，所占比例为63.59%，CT表现征象有肝硬化、肝脏变小肝叶比例失常等特征，脾脏CT表现主要有脾脏增大302例，脾脏钙化42例，其所占比例分别为82.07%和11.41%，结肠CT表现主要有结肠壁钙化118例、结肠壁增厚69例和合并结肠癌33例，其所占比例分别为32.07%、18.75%和8.97%。结论慢性血吸虫病主要损伤腹部的脏器，其主要影像特征是不同形态出现钙化影，慢性血吸虫病腹部CT的病理性也有所改变。因此，慢性血吸虫病腹部CT结果比病理结果更明确，这显示了慢性血吸虫病腹部CT是诊断慢性血吸虫病是否对脏器病理产生损害，确定损伤程度的重要的影像检测手段。
목적：연구분석만성혈흡충병복부CT적정상，여만성혈흡충병적병리진행대조연구，진일보제승대만성혈흡충병적진단준학도화치료효과。방법대368례만성혈흡충병환자균진행복부CT평소화증강소묘；소유환자적수술표본화병리절편진행병리검사。결과복부CT결과현시，소선취적환자중간장개화346례，소점비례위94.02%，주요표현위지도양개화；간경화234례，소점비례위63.59%，CT표현정상유간경화、간장변소간협비례실상등특정，비장CT표현주요유비장증대302례，비장개화42례，기소점비례분별위82.07%화11.41%，결장CT표현주요유결장벽개화118례、결장벽증후69례화합병결장암33례，기소점비례분별위32.07%、18.75%화8.97%。결론만성혈흡충병주요손상복부적장기，기주요영상특정시불동형태출현개화영，만성혈흡충병복부CT적병이성야유소개변。인차，만성혈흡충병복부CT결과비병리결과경명학，저현시료만성혈흡충병복부CT시진단만성혈흡충병시부대장기병리산생손해，학정손상정도적중요적영상검측수단。
Objective To study and analysis of abdominal CT sign of chronic schistosomiasis, control study the pathology of chronic schistosomiasis, improving the accuracy and the therapeutic effect of diagnosis of chronic schistosomiasis advancement. Methods 368 cases of chronic schistosomiasis, abdominal CT plain scan and enhanced scan were performed;all patients with sur-gical specimens and pathological biopsy for pathological examination. Results According to the results of abdominal CT, 346 cases with liver calcification in patients selected, the proportion is 94.02%, main show is pattern calcification;234 cases of cirrhosis, the proportion is 63.59%, CT showed signs characteristics such as smaller liver cirrhosis, liver lobe ratio imbalance, spleen CT mani-festations are mainly spleen increases 302 cases, spleen calcification 42 cases, the proportion of 82.07%and 11.41%, respectively, colon CT manifestations are mainly intestinal wall calcification in 118 cases, the resultant bowel wall thickening of 69 cases and merger of 33 cases of colon cancer, the proportion of 32.07%, 18.75%and 8.97%, respectively. Conclusion Chronic schistosomi-asis mainly injury abdominal organs, its main characteristic is different form calcified shadow, abdominal CT of chronic schistoso-miasis pathological change, too. Therefore, chronic schistosomiasis abdominal CT results more clear than the pathological results, this shows that chronic schistosomiasis abdominal CT is the important image detection method about diagnosis of chronic schisto-somiasis is whether to cause damage to organs pathological, determine the important image detection method or not.