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目的分析脑囊尾蚴病血清囊虫抗体检测与影像学检查结果的符合情况,探讨脑囊尾蚴病血清囊虫抗体检测与影像学检查的诊断价值。方法对确诊的1 104例脑囊尾蚴病患者作血清囊虫抗体检测,将检测结果与影像学检查进行对比、分析。结果 753例急性期患者中阳性481例,阳性率63.88%;351例慢性期患者中阳性141例,阳性率40.17%;急性期的115例多发病灶患者阳性85例,阳性率73.91%,638例单发病灶患者阳性342例,阳性率53.61%;慢性期的28例多发病灶患者阳性12例,阳性率42.86%,323例单发病灶患者阳性129例,阳性率39.94%。结论急性期脑囊尾蚴病抗体阳性率高于慢性期;急性期多发病灶者阳性率高于急性期单发病灶者,慢性期多发病灶者阳性率与单发病灶者差异不明显。
Objective To analyze the coincidence of serum cysticercosis antibody test and imaging findings of cerebral cysticercosis and to evaluate the diagnostic value of serum cysticercosis antibody and imaging examination of cerebral cysticercosis. Methods Serum cysticercosis antibody was detected in 1 104 cases of cysticercosis patients. The results were compared with those of imaging examination. Results The positive rate was 63.88% in 753 patients with acute phase. The positive rate was 140.17% in 351 patients with chronic phase. The positive rate of 85 cases was 115 in patients with multiple lesions in the acute phase, the positive rate was 73.91%, 638 The single positive lesions were positive in 342 cases, the positive rate was 53.61%. In the chronic phase, 28 cases of multiple lesions were positive in 12 cases, the positive rate was 42.86%. The positive rate was 39.94% in 323 cases of single lesion. Conclusions The positive rate of antibody to cerebral cysticercosis in acute phase is higher than that in chronic phase. The positive rate of multiple lesions in acute stage is higher than that in acute stage. There is no significant difference between the positive rate of multiple stage lesions in chronic stage and single lesion.