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目的:提高单发脑脓肿与其他单发囊状改变疾病鉴别水平。方法:回顾性分析我院作CT检查的经临床与病理证实的单发性的脑脓肿22例,所有病例均行平扫及增强扫描。结果:22例患者中,脓肿分布于大脑半球17例,小脑半球3例,基底节区1例,丘脑1例;18例显示完整的脓肿壁,3例显示不完整的脓肿壁。结论:螺旋CT能显示脓肿的位置、大小、壁的厚度及形态,更好地与其他囊性病变鉴别。
Objective: To improve single brain abscess and other single cystic disease identification level. Methods: A retrospective analysis of our hospital for CT examination of the clinical and pathological confirmed single brain abscess in 22 cases, all cases underwent plain scan and enhanced scan. RESULTS: In 22 patients, abscesses were found in 17 cases of hemispheres, 3 cases of cerebellar hemispheres, 1 case of basal ganglia and 1 case of thalamus. Eighteen cases showed intact abscess wall and 3 cases showed incomplete abscess wall. Conclusion: Spiral CT can show the location, size, wall thickness and morphology of abscess and better identify with other cystic lesions.