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目的:分析探讨脑囊虫病的MR表现。方法:选取自2012年2月至2013年3月来我院就诊治疗的21例脑囊虫病患者临床资料进行回顾性分析,其中对21例脑囊虫病患者进行MR平扫,对9例患者进行增强扫描,并对MR征象进行分析,结合病理、血清试验协助诊断。结果:MR病灶显示存在四种不同变化:1.仅显示类圆形囊样变,主要为囊虫头节;2.囊虫头节变现不明显,仅病灶周围水肿明显,占位征象明显;3.多发斑点状低信号强度影,无占位病变;4.部分脑囊虫病可呈现环形强化、有的可出现点头状强化。结论:脑囊虫病的MR诊断是临床上诊断该病可靠科学有效的一种诊断方式,为临床分期提供重要依据,为临床分型、诊断及治疗方案提供重要线索,值得临床推广使用。
Objective: To analyze and discuss MR manifestations of cerebral cysticercosis. Methods: The clinical data of 21 patients with cerebral cysticercosis who were treated in our hospital from February 2012 to March 2013 were retrospectively analyzed. Among them 21 patients with cerebral cysticercosis were scanned by MR, and 9 patients were enhanced Scan, and MR signs of analysis, combined with pathology, serum test to help diagnose. Results: There were four different changes in MR lesions: 1. Only the cystoid cysts were found, which was mainly Cysticercosis; 2. The cysticercosis did not change obviously, only the edema around the lesion was obvious, 3. Multiple spots of low signal intensity shadow, no space-occupying lesions; 4. Some cysticercosis may present a ring-shaped enhancement, and some may appear nodding enhancement. Conclusion: MR diagnosis of cerebral cysticercosis is a reliable and scientific method to diagnose the disease clinically. It provides an important basis for clinical staging and provides important clues for clinical classification, diagnosis and treatment. It is worthy of clinical promotion.