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目的:探讨盆腹腔包虫病普通X线的诊断价值。方法:对11例盆腹腔包虫病患者在胃肠机下行多轴透视,摄片观察,对血清学、其它检查及手术病理结果进行对照分析。结果:11例中5例肝包虫,X线片可见密度增高的软组织阴影,隐约可见弧形边缘,胃体中上部小弯侧及胃底部受压移位。胆系造影显示胆囊受压呈弧形。1例破裂显示巨大液平,形成“水上浮莲”征象。3例腹膜后及肠系膜包虫静脉肾盂造影显示肾盂、肾盏受压移位,积水伴弧形钙化灶。全消化道钡透示肠管移位,有弧形压迹及钙化,随体位有移位。2例盆腔包虫尿路造影示输尿管迂曲移位,膀胱可见压迹。结论:普通X线诊断方法方便、经济、快捷,是盆腹腔包虫病首选的影像诊断方法。
Objective: To investigate the diagnostic value of ordinary X-ray of abdominal echinococcosis. Methods: 11 cases of abdominal hydatid disease in patients with gastrointestinal machine down multi-axis fluoroscopy, radiography, serology, other tests and surgical pathology results were analyzed. Results: In 5 cases of hepatic hydatid disease, the X-ray showed the shadow of soft tissue with increased density. The arc margin, the lesser curvature at the upper part of the gastric body and the bottom of the stomach were translocated. Gallbladder angiography showed gallbladder compression. One case of rupture showed a huge level, forming a “water floating lotus” signs. 3 cases of retroperitoneal and mesenteric edema intravenous pyelography showed renal pelvis, calyceal pressure shift, water with calcification calcification. Barium throughout the digestive tract intestinal transposition, there arc curved and calcification, with displacement of the body position. 2 cases of urinary tract pelvic urothelial imaging showed tortuosity shift, the bladder visible pressure trace. Conclusion: The diagnostic method of common X-ray is convenient, economical and fast. It is the preferred method of image diagnosis for abdominal echinococcosis.