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本文报告25例脑型血吸虫病,经CT脑扫描,脑血吸虫卵肉芽肿呈现高密度强化块影,在肉芽肿周围及附近白质水肿显示低密度影像。CT影像结合疫水接触史及临床和免疫诊断检查,能作出正确定位和定性诊断.分析了CT表现与临床病理的关系。在总结经验基础上对治疗选择进行了探讨。通过CT脑扫描追踪观察,提示脑型血吸虫病,经吡喹酮化疗,病变可逆转,脑血吸虫卵肉芽肿和脑水肿可消失。
In this paper, 25 cases of schistosomiasis of the brain were reported. High density intensive mass showed by CT brain scintigraphy and egg granuloma of the brain, and low density images of white matter edema around and around the granuloma. CT images combined with history of exposure to water and clinical and immunological diagnosis can make correct positioning and qualitative diagnosis.The relationship between CT features and clinicopathological features is analyzed. On the basis of summing up the experience of treatment options were discussed. Through CT brain scan follow-up observation, suggesting that cerebral schistosomiasis, praziquantel chemotherapy, lesions can be reversed, cerebral schistosome egg granuloma and cerebral edema can disappear.