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目的分析身体各部位囊尾蚴病的X线、CT、MRI表现特点,以提高对其的认知度及诊断水平。方法回顾性分析2003年至2013年收治5例经临床病理证实身体各部位囊尾蚴病的X线、CT、MRI影像表现。结果 5例患者为皮肌型囊尾蚴病,其中2例合并肺囊尾蚴病,5例均合并脑囊尾蚴病。躯干、四肢均表现为多发、散在分布的梭形结节状钙化阴影,大小不等,直径0.3~1.5 cm,边缘较清楚,有的中心透亮,躯干、四肢结节影长轴与肌纤维走行一致;肺部表现为双肺散在、多发分布的类圆形结节影,结节密度不均,病灶间无融合征象;脑囊尾蚴病CT、MRI表现多种多样,有急性期与慢性钙化期表现。结论囊尾蚴病发病率较低,X线、CT、MRI是囊尾蚴病最常用的影像技术之一,其影像学具有特征性,在囊尾蚴病的定位、定性上有一定价值。
Objective To analyze the manifestations of X-ray, CT and MRI of cysticercosis in various parts of the body in order to improve its cognition and diagnosis. Methods The clinical manifestations of X-ray, CT and MRI of 5 cases of cysticercosis confirmed by clinicopathological examination from 2003 to 2013 were retrospectively analyzed. Results Five cases were muscle muscular cysticercosis. Two cases were complicated with cysticercosis and five cases were complicated with cysticercosis. Trunk and limbs showed multiple, scattered fusiform nodular calcification shadows, ranging in size from 0.3 to 1.5 cm in diameter, the edge of the more clear, and some center translucent, trunk, limbs, long axis of the nodules and muscle fibers walking line ; Pulmonary manifestations of scattered lungs, multiple round-like distribution of nodules, nodules and uneven density, no fusion between lesions; cerebral cysticercosis CT, MRI performance varied, with acute and chronic calcification which performed. Conclusions The incidence of cysticercosis is low. X-ray, CT and MRI are one of the most commonly used imaging techniques for cysticercosis. Its imaging features are characteristic and have certain value in the localization and qualitative evaluation of cysticercosis.