摘要
目的分析经腹壁超声、CT对囊型肝包虫病术前诊断及指导价值。方法回顾性分析我院2018年4月至2019年4月收治的34例囊型肝脏包虫病患者的临床资料,比较腹壁超声和CT检查对囊型肝脏包虫病各型的诊断准确率;分析囊型肝脏包虫病各型的影像学特征。结果CT检查的诊断准确率(97.06%)显著高于腹壁超声检查(82.35%)(P<0.05)。CT表现:单囊型中2例呈双壁征;4例多囊型患者,3例可见蜂窝征;8例内囊破裂型中3例呈水蛇征,5例呈飘带征;实性改变型中4例可见钙化影。10例钙化型患者中,3例呈斑片状,5例呈圆曲状,2例呈花边状。腹壁超声表现:2例可见双壁征;3例可见蜂窝征,1例可见玫瑰花结征;8例内囊破裂型患者中,飘带征5例,水中百合花征3例;钙化型中6例呈弧形,4例呈锥形。结论腹壁超声检查及CT检查均可通过分型反映囊型肝包虫不同时期的病理变化,其中CT的总体诊断准确率高于腹壁超声,对囊型肝包虫的临床诊治具有指导价值。
Objective To analyze the preoperative diagnosis and guiding value of transabdominal ultrasound and CT for cystic hepatic echinococcosis.Methods The clinical data of 34 patients with cystic hepatic echinococcosis admitted to our hospital from April 2018 to April 2019 were retrospectively analyzed.To compa re the accu racy of tra nsabdominal ultrasound and CT examination in the diagnosis of va rious types of cystic hepatic echinococcosis.To analyze the imaging featu res of va rious types of cystic hepatic echinococcosis.Results The diagnostic accuracy of CT examination(97.06%)was significantly higher than that of transabdominal ultrasound(82.35%)(P<0.05).CT showed:in monosaccate type,2 cases showed double wall sign;in polycystic patients,3 cases showed honeycomb signs;in the 8 cases in type of internal capsule rupture,3 cases showed water snake-like sign,5 cases showed streamerlike sign;in the type of solid change,4 cases showed calcification shadow.In 10 calcified patients,3 patients showed patchy shape,5 patients showed circular curved shape,and 2 patients showed lacelike shape.The transabdominal ultrasound showed 2 cases showed double wall sign;3 cases showed honeycomb sign,1 case showed rosette sign.In 8 cases in type of internal capsule rupture,5 cases showed streamer-like sign,3 cases sowed lily sign in water.In the calcification type,6 cases were curved and 4 cases were tapered.Conclusion Transabdominal ultrasonography and CT examination both can reflect the pathological changes of cystic hepatic echinococcosis in different stages by classification.The overall diagnostic accu racy of CT is higher than that of tra nsabdominal ultrasound,which has guiding value for the clinical diagnosis and treatment of cystic hepatic echinococcosis.
作者
郑静
雷敏
魏丽
ZHENG Jing;LEI Min;WEI Li(Department of Ultrasound,Ganzi People's Hospital,Ganzi 626000,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2021年第5期54-55,115,共3页
Chinese Journal of CT and MRI
基金
四川省卫生计划委员会科研课题(150056)。
关键词
腹壁超声
CT
囊型肝包虫
术前诊断
Transabdominal Ultrasound
CT
Cystic Hepatic Echinococcosis
Preoperative Diagnosis
作者简介
第一作者/通讯作者:郑静,女,主治医生,主要研究方向:肝包虫。E-mail:ezang86428@sina.com。
