慢性血吸虫病腹部CT及病理对照研究  

Abdominal CT and pathological findings of chronic schistosomiasis:A controlled study

作　　者：邹华 ZOU Hua(Department of Imaging,the Third People’s Hospital of Jingzhou City,Hubei,Jingzhou 434001,China)

机构地区：[1]湖北省荆州市第三人民医院影像科,湖北荆州434001

出　　处：《中国医药科学》2020年第9期178-180,共3页China Medicine And Pharmacy

摘　　要：目的探讨慢性血吸虫病腹部CT及病理对照研究。方法选取2016年5月~2017年4月入住我院的慢性血吸虫患者114例,所选患者均接受腹部CT检查,病理切片及手术标本进行病理检查。结果所选患者中,经腹部CT检查共有26例(22.8%)脾脏钙化;98例(86.0%)脾脏增大,表现主要是片、点、线、条状或混合症状,经增强扫描后无明显特征,CT检查结果与病理诊断结果,差异无统计学意义(P>0.05);23例(20.2%)合并肝癌,病灶位置主要位于肝右叶,肝脏钙化者105例(92.1%),在肝脏内主要表现为门脉系、线状、团块状、弥漫点状、包膜、地图样钙化;74例(64.9%)肝脏硬化者,52例(45.6%)存在其他征象者,其他征象包括中心血管影、肝实质囊状低密度灶、肝脏内汇管区低密度灶,8例(7.0%)合并结肠癌,CT表现主要是软组织肿块影、肠腔狭窄、结肠增厚且不规则、增强后为不均匀强化,21例(18.4%)结肠壁增厚,CT表现主要是均匀性增厚以及全结肠弥漫性增厚;38例(33.3%)结肠壁钙化,CT表现主要是条、片、环状变化,主要为环状变化,CT检查结果与病理诊断结果,差异无统计学意义(P>0.05)。结论慢性血吸虫病可使腹部脏器受损,且腹部CT病理改变明显,腹部CT对于诊断慢性血吸虫病脏器病理受损及程度具有重要意义。Objective To investigate the abdominal computed tomography(CT)and pathological findings in chronic schistosomiasis.Methods A total of 114 chronic schistosomiasis patients who were admitted to our hospital from May 2016 to April 2017 were selected.All patients underwent abdominal CT examination,pathological sections and surgical specimens for pathological examination.Results Among the patients undergoing abdominal CT,26 cases(22.8%)were spleen calcificatio;98 cases(86.0%)had enlarged spleen,and the symptoms were mainly patches,dots,lines,stripes,or mixed symptoms;there were no significant features after enhanced scanning,and there were no significant differences between the results of CT examination and pathological diagnosis(P>0.05);23 cases(20.2%)were complicated with hepatocellular carcinoma,mainly located in the right lobe of the liver,and 105 cases(92.1%)had hepatic calcification,which was mainly manifested as portal vein system,linear shape,mass shape,diffuse dot shape,capsule shape and earth pattern calcification in the liver;74 cases(64.9%)were liver cirrhosis,and 52 cases(45.6%)were those with other signs;other signs included central cardiovascular disease,cystic low-density foci of liver parenchyma,and low-density foci of intrahepatic ducts;8 cases(7.0%)were complicated with colon cancer,and the CT manifestations were mainly soft tissue mass shadows,bowel stenosis,colon thickening and irregularity,and uneven enhancement after enhancement;21 cases(18.4%)had thickening of the colon wall,CT manifestations were mainly homogeneous thickening and diffuse thickening of the entire colon;38 patients(33.3%)had calcification of the colon wall,and the CT manifestations were mainly strip,film,and ring changes,mainly ring changes,and there were no significant differences in CT examination results and pathological diagnosis results(P>0.05).Conclusion Chronic schistosomiasis can damage the abdominal viscera,and the pathological changes of abdominal CT are obvious.Abdominal CT is of great significance in diagnosing the p

关 键 词：慢性血吸虫病 腹部CT 病理 肝脏 脾脏 

分 类 号：R532.2[医药卫生—内科学]