胸肺型并殖吸虫病早期感染期的CT诊断价值  

Diagnostic value of CT at early infection stage of thoracic and pulmonary paragonimiasis

作　　者：谢益兵 周永飞 洪加林 许京轩 孙厚长[5] 都继成 陈棋[4] 许崇永[4] Xie YB;Zhou YF;Hong JL;Xu JX;Chen Q;Xu CY;Sun HZ;Du JC(（Department of Radiology,Yongjia County People ＇s Hospital,Zhenjiang,Yongjia 325100,China;Clinical Laboratory,Yongjia County People ＇s Hospital,Zhenjiang,Yongjia 325100,China;Department of Surgery,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,China;Department of Radiology,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,Chin;Department of Radiology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325035,China;Department of Radiology,Wenzhou Central Hospital,Wenzhou 325000,Chin)

机构地区：[1]浙江省永嘉县人民医院放射科,永嘉325100 [2]浙江省永嘉县人民医院检验科,永嘉325100 [3]温州医科大学附属第二医院外科,温州325027 [4]温州医科大学附属第二医院放射科,温州325027 [5]温州医科大学附属第一医院放射科,温州325035 [6]温州市中心医院放射科,温州325000

出　　处：《中华地方病学杂志》2018年第8期668-670,共3页Chinese Journal of Endemiology

摘　　要：目的探讨胸肺型并殖吸虫病早期感染期的CT表现特征。方法收集2010年1月至2017年6月浙江省永嘉县人民医院确诊的56例胸肺型并殖吸虫病患者病历资料，回顾性分析其实验室检查结果和CT影像学表现特点。结果56例患者外周血嗜酸性粒细胞绝对值为（5．61±3．18）×10^9个／L，嗜酸性粒细胞百分比为（35．90±19．16）％，均有不同程度升高。42例患者有不同程度的胸腔积液；52例有肺内病变，病变分布于肺叶各段，病灶多位于胸膜下肺组织，可表现为单一性，也可以几种病变同时存在；12例表现为肺内磨玻璃影，4例支气管周围炎，31例浸润性病变，28例结节及条状影，大部分结节为0．5～1．0cm，伴有月晕征。结论胸肺型并殖吸虫病早期感染期CT表现具有多样性．肺内0．5～1．0cm结节伴月晕征对诊断具有一定特征性。支气管周围炎、浸润性病变及胸腔积液，结合嗜酸性粒细胞百分比增高可提示诊断。Objective To investigate the CT features of early infection stage of thoracic and pulmonary paragonimiasis. Methods Medical records of 56 patients with thoracic and pulmonary paragonimiasis from January 2010 to June 2017 were collected, and the patients were diagnosed and treated at Yongjia County People＇s Hospital, and the results of laboratory examination and CT imaging features were analyzed retrospectively. Results The absolute value of eosinophils in peripheral blood of 56 patients was （5.61 ± 3.18） × 10^9/L, and the percentage of eosinophils was （35.90 ± 19.16）%, all of which increased to varying degrees. Forty-two patients had different degrees of pleural effusion and 52 cases with lung lesions. Lung lesions demonstrated one or several kinds of foci at the same time, randomly distributed in the lung field, mostly located in the sub-pleural lung tissue. There were 12 cases with pulmonary ground glass shadow, 4 cases with peribronehitis, 31 cases with pulmonary invasive lesions and 28 cases with pulmonary nodular/strip shadow. The size of most nodules were 0.5 - 1.0 cm, accompanied with halo sign. Conclusions The CT features of early infection stage of thoracic and pulmonary paragonimiasis are diverse. The size of 0.5 - 1.0 cm lung nodules with halo sign has certain characteristics in the diagnosis of paragonimiasis. Peribronchitis, infiltrative lesions, pleural effusion and increased peripheral blood eosinophil percentage can suggest diagnosis.

关 键 词：并殖吸虫病 肺吸虫病 胸部疾病 体层摄影术 X线计算机 

分 类 号：R532.22[医药卫生—内科学] R816.4[医药卫生—临床医学]