论文部分内容阅读
目的:通过本研究探讨小儿脑囊虫病的CT临床特点。材料和方法:1995年9月至1996年12月经CT检查及临床抗囊虫治疗证实的该病患儿102例。结果:(1)CT检查以小环形或结节强化型最多见(占94%),病灶单发(占95%),发病部位以大脑皮层区顶叶多见(占79%)。小环形或结节影在边界清晰锐利的低密度区内偏心存在,无占位效应。延时扫描示强化病灶持续较久,适合小儿安全缓慢给药要求。(2)临床患儿多以各种类型癫痫发作及发作后一过性肢体瘫痪就诊。血清囊虫抗体阳性判定标准有较高的假阴性。采用中西药物结合治疗疗程短,见效快。结论:小儿脑囊虫病CT的主要表现形式薄壁环形增强伴有病灶周围水肿。
Objective: To investigate the clinical features of CT in children with cysticercosis. Materials and Methods: From September 1995 to December 1996, 102 children with this disease were confirmed by CT examination and clinical anti-cysticercosis. Results: (1) The most common lesion (nodular or nodular enhancement type) was CT (94%), single lesion (95%), and parietal lobe of cerebral cortex (79%). Small ring or nodules in the clear boundary of the sharp low-density areas exist eccentric, no placeholder effect. Delayed scan showed enhanced lesions last longer, suitable for pediatric safety slow delivery requirements. (2) Most clinical children with various types of seizures and episodes of transient limb paralysis treatment. Serum cysticercosis antibody positive criteria have a higher false negative. Chinese and Western medicine combined with the treatment of short courses, quick. Conclusion: The main manifestation of CT in pediatric cysticercosis is thin-walled ring enhancement accompanied by edema around the lesion.