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目的:探讨脑囊虫病MRI分型、分期诊断对临床治疗的指导价值。方法:回顾性分析25例208个虫体的MRI特点及病理学基础。结果:根据MRI特征分为脑实质型(18例)、蛛网膜型、脑室型、混合型(7例)4型和活虫期(106个虫体)、变性死亡早期(57个虫体)、变性死亡后期(23个虫体)、钙化期(22个虫体)4期。结论:MRI能反映脑囊虫病的病理学过程,其分型和分期诊断对临床合理治疗有着重要的指导意义。
Objective: To discuss the guiding value of MRI classification and staging diagnosis of cerebral cysticercosis to clinical treatment. Methods: The MRI features and pathology of 25 cases of 208 parasites were retrospectively analyzed. Results: According to MRI features, there were 18 cases of brain parenchyma (type A), arachnoid type, ventricular type, mixed type (7 cases) type 4 and live stage (106 worms) , Late degeneration (23 worms) and calcification (22 worms). Conclusion: MRI can reflect the pathological process of cerebral cysticercosis, and its classification and staging diagnosis have important guiding significance for the clinical rational treatment.