脑血吸虫病的CT分析(附67例报告)

目的探讨脑血吸虫病的CT特征及其诊断价值. 资料与方法 67例行CT扫描,其中33例经手术病理证实,34例结合患者疫水接触史、实验室检查证实. 结果 67例病灶位于大脑半球,多发病灶9例,单发病灶58例,CT上呈等密度或稍高密度区,周围有水肿及占位效应,结节及斑片状强化,局部脑萎缩表现呈不规则低密度区,患侧脑沟增宽. 结论 CT特征性表现结合急性血吸虫感染史有助于早期诊断,可为临床选择治疗方案提供依据.

CT Analysis of Brain Schistosomiasis: Reports of 67 Cases

Objective To study CT featurs of brain schistosomiasis and its diagnostic value.Materials and Methods 67 cases of brain schistosomiasis were scanned by CT, including 33 cases proved by surgical and pathological findings, and the other 34 confirmed by laboratory test and the history of contacting the infected water. Results All the lesions were located in the cerebra. There were multi foci in 9 cases and single focus in 58. They showed isodensity or a little high density, edema and mass effects, nodular or patchy enhancement. The concomitant regional cerebral atrophy appeared irregular low density and enlarged ipsilateral sulci cerebri. Conclusion CT features together with the history of acute infection of schistosome are helpful to the early diagnosis of the disease and treat planning.