儿童胸肺型合并脑型肺吸虫病的CT和MRI表现分析  

Analysis of CT and MRI Findings in Children with Chest and Lung Type and Brain Paragonimiasis

作　　者：王庆荣 WANG Qing-rong(Department of Radiology,People's Hospital of Xishuangbanna Dai Autonomous Prefecture,Jinghong,Yunnan Province,666100 China)

机构地区：[1]西双版纳傣族自治州人民医院影像科,云南景洪666100

出　　处：《中外医疗》2020年第2期184-186,共3页China & Foreign Medical Treatment

摘　　要：目的分析儿童胸肺型合并脑型肺吸虫病的CT和MRI表现,提高该疾病的临床诊出率。方法回顾性分析该院在2015年4月—2018年1月期间收治的6例肺吸虫病患儿的病历资料,所有患儿均在该院进行CT与MRI检查,总结CT与MRI表现,观察影像学特点。结果所有患儿CT均可见胸腔积液合并胸膜下肺结节,发生率达100.00%;5例患儿可见肺内蜿蜒条状密度增高影,发生率为83.33%;3例提示肺内斑点状模糊影,发生率为50.00%;3例提示肺内小结节,发生率为50.00%,包括2例结节边缘蝌蚪型弯曲条状影。MRI见3例患儿脑部影像学检查可见出血灶,发生率为50.00%,2例可见脑实质与脑室内环形强化并结节状强化病灶;3例隧道征,病灶周围均可见大小不一的水肿信号。结论儿童胸肺型合并脑型肺吸虫病CT检查以胸腔积液合并胸膜下肺结节、肺内蜿蜒条状密度增高影、斑点状模糊影等为典型特征;MRI检查则以脑实质与脑室内环形强化并结节状强化病灶、隧道征以及水肿信号等为典型特征,该病变具有明显的迁移性和多发性特点。Objective To analyze the CT and MRI findings of children with chest and lung type and brain paragonimiasis,and to improve the clinical diagnosis rate of the disease.Methods A retrospective analysis of the medical records of 6 children with paragonimiasis admitted to the hospital from April 2015 to January 2018.All patients underwent CT and MRI examinations in our hospital,summarizing their CT and MRI findings.Observe its imaging characteristics.Results All patients with CT showed pleural effusion with subpleural pulmonary nodules,the incidence rate reached 100.00%;5 cases showed an increase in the density of sacral strips in the lungs,the incidence rate was 83.33%;3 cases showed intrapulmonary Spotted blur,the incidence rate was 50.00%;3 cases showed small intrapulmonary nodules,the incidence rate was 50.00%,including 2 cases of nodular edge tadpole type curved strip shadow.MRI showed 3 cases of children with brain imaging findings of hemorrhagic foci,the incidence rate was 50.00%,2 cases showed brain parenchyma and intraventricular annular enhancement and nodular enhancement lesions;3 cases of tunnel signs,lesions around the size can be seen Edema signal.Conclusion CT examination of children with thoracic lung type and brain paragonimiasis is characterized by pleural effusion with subpleural pulmonary nodules,increased density of sacral strips in the lungs,and speckle-like blurred images.MRI is based on brain parenchyma.Typical features such as ring-enhanced and nodular enhancement lesions,tunnel signs,and edema signals in the ventricles have obvious migration and multiple features.

关 键 词：儿童胸肺型合并脑型肺吸虫病 CT表现 MRI表现 

分 类 号：R725[医药卫生—儿科]