论文部分内容阅读
目的 探讨脑囊虫病患者CT分型的临床意义。方法 根据脑囊虫病患者治疗前脑CT影像表现分型 ,与患者在抗囊虫治疗过程中出现的杀虫反应以及抗囊虫治疗效果进行对比分析。结果 抗囊虫治疗第 1疗程易出现杀虫反应 ,但各型脑囊虫病患者出现反应的程度不同 ,并且抗囊虫治疗效果也不同。Ⅰ型患者杀虫反应轻 ,经 2～ 3个疗程抗囊虫治疗后大部分患者已治愈。Ⅱ、Ⅲ、Ⅴ型患者第 1疗程出现较重的杀虫反应 ,治疗后治愈率分别为 81 .4%、72 .6 %和 74.1 %。Ⅳ型患者杀虫反应轻 ,疗效较好。结论 脑CT分型对指导脑囊虫病临床治疗和判定预后具有重要意义。
Objective To investigate the clinical significance of CT typing in patients with cerebral cysticercosis. Methods According to the classification of CT images of forebrain in patients with cerebral cysticercosis, the contrastive analysis of the insecticidal reaction and the anti-cysticercosis efficacy of the patients treated with the anti-cysticercosis were made. The results of the first course of anti-cysticercosis treatment insecticidal reaction prone, but the various types of cysticercosis patients with varying degrees of response, and anti-cysticercosis treatment is also different. Type I patients insecticidal response to light, after 2 to 3 courses of treatment of cysticercosis most patients have been cured. Severe insecticidal reactions occurred in the first course of patients with type Ⅱ, Ⅲ and Ⅴ. The cure rates after treatment were 81.4%, 72.6% and 74.1% respectively. Type IV patients insecticidal response to light, better efficacy. Conclusion Brain CT typing is of great importance in guiding the clinical treatment of cerebral cysticercosis and prognosis.