脑囊虫病的CT表现特征  

CT Features of Cerebral Cysticercosis

作　　者：周发祥 孙宗琼[2] 王生美 李英 Zhou Faxiang;Sun Zongqiong;Wang Shengmei;Li Ying(Department of Radiology,The Second People's Hospital of Haidong,Haidong,Qinghai 810799;Department of Imaging,Affiliated Hospital of Jiangnan University,Wuxi,Jiangsu 214062;Ledu Hospital of Traditional Chinese Medicine Haidong,Haidong,Qinghai 810799)

机构地区：[1]海东市第二人民医院放射科,青海海东810799 [2]江南大学附属医院影像科,江苏无锡214062 [3]海东市乐都区中医院,青海海东810799

出　　处：《现代医用影像学》2023年第2期228-230,共3页Modern Medical Imageology

摘　　要：目的:探讨CT在脑囊虫病诊断中的临床应用价值。方法:回顾性分析2012年6月至2022年4月期间我院检查的66例脑囊虫病患者的临床及CT资料,记录脑囊虫病各分型的CT表现特征。结果:66例脑囊虫病患者中,根据部位不同分为脑实质型44例、脑室型7例、脑膜型4例、混合型11例。其中脑实质型,根据病程不同分为急性脑炎型5例,CT表现为脑组织肿胀,两侧大脑半球皮质下脑白质密度广泛减低;多发钙化型29例,CT表现为脑实质内多发大小不等结节状钙化密度影;钙化灶及多发小囊样灶并存型8例,CT表现为脑实质内结节钙化影伴发周围多个小囊样低密度影;钙化灶伴周围大囊形成型2例。结论:CT检查可明确脑囊虫病的病灶部位、数目及分型,为临床制定合理的治疗方案提供参考依据。Objective:To investigate the clinical value of CT in the diagnosis of cerebral cysticercosis.Methods:The clinical and CT data of 66 patients with cerebral cysticercosis examined in our hospital from June 2012 to April 2022 were analyzed retrospectively,and the CT manifestations of different types of cerebral cysticercosis were recorded.Results:Among the 66 cases of cerebral cysticercosis,44 cases were classified as cerebral parenchyma type,7 cases as ventricular type,4 cases as meningeal type,and 11 cases as mixed type according to the location.Among them,the brain parenchyma type was divided into 5 cases of acute encephalitis according to the course of the disease.The CT manifestations were brain tissue swelling,and the density of white matter under the cortex of both cerebral hemispheres was widely reduced;In 29 cases of multiple calcification type,CT showed multiple nodular calcification density shadows of different sizes in brain parenchyma;There were 8 cases with calcification and multiple small cystic foci coexisting,and CT showed calcification of nodules in brain parenchyma accompanied by multiple small cystic low density shadows;Calcification with large surrounding cysts in 2 cases.Conclusion:CT examination can determine the location,number and classification of cerebral cysticercosis lesions,and provide a reference for clinical formulation of a reasonable treatment plan.

关 键 词：脑囊虫病 CT诊断 分型 

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