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目的 :研究脑血吸虫病的CT、MRI表现 ,并探讨两种检查方法对该病的诊断价值。方法 :本组 2 8例患者均同时行CT、MRI检查 (平扫 +增强 ) ,分析该病的影像学征象并结合 9例手术病理资料进行对比。结果 :2 7例有不同程度的水肿 ;2 2例呈水肿伴不规则结节 ,增强后呈结节状、斑片状及融合成簇状强化 ;CT发现 5 4个病灶 ,MRI发现 75个病灶。结论 :脑血吸虫病在CT及MRI增强扫描中都具有特异性表现 ,MRI信号更接近其病理改变 ;两种检查方法都具有重要的临床价值 ,但MRI明显优于CT。
Objective: To study the CT and MRI manifestations of cerebral schistosomiasis and to explore the diagnostic value of the two methods for this disease. Methods: Twenty-eight patients in this group underwent both CT and MRI examinations (plain scan + contrast enhancement). The imaging features of the disease were analyzed and compared with the pathological data of 9 cases. Results: Twenty-seven cases had different degrees of edema. Twenty-two cases showed edema with irregular nodules. After enhancement, nodular, patchy and fused clusters were found. CT was found in 54 lesions and MRI was found in 75 Lesions. Conclusion: Cerebral schistosomiasis has specific performance in enhanced CT and MRI scan, MRI signal is closer to its pathological changes. Both methods have important clinical value, but MRI is superior to CT.