脑血吸虫性肉芽肿的CT表现  

CT Diagnosis of Brain Schistosomiasis Granuloma

作　　者：梅海英[1] 张元宪[1] 付福亮[1] 

机构地区：[1]丰城市人民医院,江西丰城331100

出　　处：《实用医技杂志》2007年第36期4945-4946,共2页Journal of Practical Medical Techniques

摘　　要：目的:探讨脑血吸虫性肉芽肿的CT特点及CT对本病的诊断价值。方法:回顾分析9例脑血吸虫肉芽肿的CT与临床资料,其中4例经手术病理证实,另5例经实验室检查及吡喹酮试验治疗后临床确诊。所有病例均做平扫及增强扫描。5例吡喹酮治疗后15 d～30 d后复查CT。结果:9例共11个病灶位于皮层及皮层下区,表现为单个或多个聚集的类圆形或不规则形结节。大小1.0 cm～4.0 cm。平扫为等或略高密度,增强后呈不均匀强化,周围有较宽的低密度带。且有占位效应。5例吡喹酮治疗后,病灶缩小或消失。结论:脑血吸虫性肉芽肿有较典型的CT的表现.结合临床、实验室检查及试验性治疗可确诊。ObjectiveTo study brain schistosomiasis granuloma CT features and value in CT diagnosis of the disease . Methods The author reviewed the CT and clinical data of 9 cases of brain schistosomiasis granuloma, all cases were diagnosed by the surgicalpathological examination（4 cases）, laboratory test and the trial treatment of bitricide （5 cases）, The plain and gontrast injected CT examination were made to all 9 cases. 15 - 30days later the 5 cases which treated with bitricide made CT gcan again. Results All lesions located at the cortical or subcortical area to the 9 supratentorial cases. All above lesions were manifestated as single or several crowded round - like or irregular nodule with size of 1.0 cm to 4.0 cm on plain scan, the lesions were isodense of slight hyperdense. These nodule were enhanced obviously after the contrast material injected intraveaously , but the central part of nodule was no or only slight enhanced. A marked surrounding edema and mass effect werecound as well. On the report examination, the cases treated with bitricide were found that nodules became smaller or disappeared. Conclusion The brain schistosomiasis granuloma has typical CT findings; combined with epidemiological history, laboratory examination and trial treatment, we could diagnose correctly.

关 键 词：脑 血吸虫病 肉芽肿 计算机体层摄影 

分 类 号：R532.2[医药卫生—内科学] R816.1[医药卫生—临床医学]