论文部分内容阅读
目的通过对脑型血吸虫病的CT和MRI表现与手术后病理材料进行分析,探讨脑型血吸虫病的CT和MRI特征及诊断价值。方法对7例脑型血吸虫病患者的临床资料、实验室检查、CT、MRI平扫和增强结果并结合手术后病理材料进行回顾性分析。结果7例患者均为慢性脑型血吸虫病,可分为癫痫型、脑瘤型、脑卒中型,4例患者曾误诊为“胶质瘤”。病灶多位于脑皮层或皮层下区,直径多在5～40 mm。病灶密度或信号与脑灰质一致,周围水肿环绕。增强后病灶小结节呈簇状聚集成团,明显延迟强化、延迟消退。结论脑型血吸虫病临床表现多样,但CT和MRI表现具有特征性,如出现上述征象结合临床则高度提示脑型血吸虫病。
Objective To investigate the CT and MRI features and diagnostic value of cerebral schistosomiasis by analyzing CT and MRI manifestations of cerebral schistosomiasis and postoperative pathological materials. Methods The clinical data, laboratory examinations, CT, MRI plain and enhancement results of 7 patients with cerebral schistosomiasis were analyzed retrospectively. Results All the 7 patients were chronic cerebral schistosomiasis, which could be divided into epileptic type, brain tumor type and stroke type. Four patients had misdiagnosed as “glioma”. More lesions in the cerebral cortex or subcortical area, more than 5 to 40 mm in diameter. The lesion density or signal is consistent with gray matter around the edema. After the lesion nodules were clustered clustered clusters, significantly delayed enhancement, delayed regression. Conclusion The clinical manifestations of schistosomiasis are diverse, but CT and MRI manifestations are characteristic, such as the above signs combined with clinical is highly suggestive of cerebral schistosomiasis.