脑囊虫病CT分型与临床意义  

CT Types and Clinical Significance of Cerebral Cysticercosis

作　　者：贾凤菊[1] 徐宏秀[1] 孔庆安[1] 李怀菊[1] 傅婷霞[1] 刘玉磊[1] 

机构地区：[1]山东省寄生虫病防治研究所,济宁272033

出　　处：《中国公共卫生》2001年第6期491-492,共2页Chinese Journal of Public Health

摘　　要：目的　了解脑囊虫病CT分型的临床意义。方法　根据脑囊虫病患者治疗前脑CT影像表现分型 ,与患者在抗囊治疗过程中出现的杀虫反应以及抗囊治疗效果进行对比分析。结果　发现抗囊治疗第 1疗程易出现杀虫反应 ,但各型脑囊虫病患者出现反应的程度不同 ,并且抗囊治疗效果也不同。Ⅰ型患者杀虫反应轻 ,经 2～ 3个疗程抗囊治疗后大部分患者已治愈。Ⅱ、Ⅲ、Ⅴ型患者第 1疗程出现较重的杀虫反应 ,治愈率分别为 81 4%、72 6 %和 74 1%。Ⅳ型患者杀虫反应轻 ,疗效较好。结论　表明脑CT分型对指导脑囊虫病临床治疗和判定预后具有重要意义。Objective To study the significance of the feature of CT image of intracerebral cysticercus.Methods In accordance with the feature of CT image of intracerebral cysticercus in cerebral cysticercosis patients before treatment, classification of CT image was made, and analysis was performed in comparison with adverse reaction during anti-cysticercus treatment and with anti-cysticercus effect after treatment.Results The adverse reaction of various degrees had been arisen in different types of cerebral cysticercosis patients in the first anti-cysticercus course and the anti-cysticercus effects were different after treatment.The adverse reaction of type Ⅰ was not serious and the majority of type Ⅰ was cured after 2 or 3 anti-cysticercus courses.The serious adverse reaction was arisen in the types Ⅱ,Ⅲ and Ⅴ and the cure ratio after treatment were 81.4%,72.6% and 74.1%,respectively.The adverse reaction of type Ⅳ was not serious.Conclusion There are indications that the CT types can be used to instruct clinical application and to judge the effect of treatment.

关 键 词：脑囊虫病 CT 杀虫反应 治疗效果 

分 类 号：R532.33[医药卫生—内科学] R816.1[医药卫生—临床医学]