人体罕少见部位包虫病的X线诊断

目的 探讨人体罕少见部位包虫病的X线表现及其诊断价值.方法 回顾性分析经X线诊断及手术证实的6例罕少见部位包虫病患者的X线表现.结果 6例均为囊性包虫病,肱骨骨包虫1例,坐骨骨包虫1例,乳腺包虫1例,心包包虫2例,肾脏包虫合并肝包虫1例.囊性包虫病在X线上可表现为囊型和钙化等.结论 罕少见部位包虫病具有一定的特征性X线表现,结合临床流行病学特点可提高诊断准确率.     

青海高原地区体部包虫病的CT表现

目的 分析青海高原地区体部包虫病的CT表现. 方法回顾性分析我院108例包虫病患者的CT资料,探讨其CT表现特点及诊断.结果 108例中,101例为囊型包虫病,7例为泡型包虫病.囊型包虫病中单纯型26例,内囊分隔型15例,多子囊型37例,实质钙化型19例,混合型11例.108例中,大多数为肝脏包虫,肺包虫7例,肺包虫合并心脏包虫1例,胫骨包虫合并感染1例,18例为肝脏合并腹腔内多器官、多部位包虫.本组资料显示腹、盆腔包虫发生率高于肺部. 结论 CT能够对体部包虫病定性和定位,其CT表现有一定特征,诊断并不困难.     

肺包虫病的CT诊断

目的：确定CT对肺包虫病的诊断价值。方法：回顾性分析13例经手术病理证实的肺包虫病的CT表现。结果：单囊性9例，多子囊型1例，多囊型3例，6例合并感染，CT表现为气-液平面及内外囊分离，2例有外伤史，患者表现为多囊型，结论：肺包虫在CT上有特征性表现，不仅可显示病变，而且可以显示并发症。     

骨包虫病影像学表现及诊断

目的分析骨包虫病的X线、CT及MRI表现，探讨骨包虫病影像学特点。方法回顾性分析7例经手术病理证实的骨包虫病影像学资料。7例均摄常规正侧位X线平片，4例行CT扫描，3例行MR扫描。结果颅骨包虫1例，脊柱包虫3例，髂骨包虫1例，骶骨包虫1例，肋骨包虫1例。X线表现：囊状膨胀性骨破坏5例，其中单囊性改变2例，多囊性骨破坏3例；溶骨性破坏2例，边缘硬化5例，钙化1例，软组织肿块4例。CT表现：4例中囊性膨胀性骨破坏3例，病灶呈多囊性2例，单囊性1例；溶骨性破坏1例；边缘硬化3例，钙化2例，软组织肿块4例。MRI表现：3例均为脊柱病变，共累计7个椎体，单囊性改变1例，多囊性改变2例，软组织肿块3例。病灶在T1IW呈低信号，T2WI呈高信号，囊内容物呈高信号，簇集呈“葡萄串样”，椎体压缩楔形变。结论影像学检查对骨包虫病的诊断具有重要意义，联合应用X线平片、CT、MR检查并密切结合流行病学史能进一步提高对骨包虫病的诊断及鉴别诊断。     

脾肾包虫囊肿的CT诊断

目的：提高对脾肾包虫囊肿及其破裂感染CT表现的认识。方法：报告4例经手术病理证实的脾肾包虫囊肿CT所见，并讨论本病的破裂感染及鉴别诊断。结果：单纯型包虫囊肿1例，呈水样均匀低密度囊性肿物边缘光整。多子囊型2例，母囊内见多个更低密度的子囊。破裂感染型包虫囊肿1例，其内外囊分离内囊膜塌陷伴内外囊壁不规则钙化。结论：CT对脾肾包虫囊肿的诊断，分型及有无破裂感染的判断颇为准确。     

腹腔及腹膜后包虫病的CT诊断(附28例报告)

目的 :探讨腹腔及腹膜后包虫病的 CT表现特征。方法 :分析手术病理证实 2 8例腹腔及腹膜后包虫的 CT表现。结果 :表现为单发 14例 ;多发 14例 ;单囊型 17例 ;多子囊型 11例。结论 :腹腔及腹膜后包虫在 CT上有特征性表现 ,CT能发现和确诊病变     

脾脏包虫囊肿的CT诊断

目的：探讨脾脏包虫囊肿的CT表现特征和鉴别诊断。材料和方法：回顾性分析经手术病理证实9例脾脏包虫囊肿的CT表现。结果：9例10个囊肿中，单发8例，多发1例，单纯型6例，多子囊包虫囊肿型3例。CT主要表现：圆形或椭圆形边缘光整，清晰，密度均匀的水样密度，囊性病变；可见到囊壁弧形线状、间断的钙化1例；母囊内有分隔或大小不等的子囊，囊壁很薄，子囊的密度总是低于母囊密度1例；囊肿破裂继发感染，囊内可见纤细条状及碎片影，密度不均匀，CT值升高1例；增强扫描外囊壁呈轻度增强3例。结论：脾脏包虫囊肿CT表现较具特征性，CT是诊断该病安全可靠的的检查方法之一，对临床选择治疗方案有重要的意义。     

肾包虫囊肿的CT诊断

目的 :探讨肾包虫囊肿及其破裂感染的CT表现及诊断意义。材料和方法 :本组 7例患者均行CT平扫与增强扫描 ,经手术病理或临床资料证实。结果 :3例单纯型囊肿 ,2例表现为肾实质内水样密度的囊性肿物 ,其边缘光滑 :4例多子囊型囊肿 ,内部含有多个更低密度子囊。 2例破裂 /感染型 ,其内外囊分离 ,1例囊腔内有塌陷折叠并且钙化的内囊膜 ;另 1例囊周水肿并增强。结论 :CT对肾包虫囊肿的定位和定性诊断、分型以及破裂感染的判断颇为准确 ,是目前诊断肾包虫囊肿安全可靠的检查方法     

颅内包虫病的CT诊断

目的探讨颅内包虫病的CT表现。方法分析经手术、病理证实的6例颅内包虫病的CT征象,其中单发脑内包虫囊肿3例,多发1例,硬膜外包虫囊肿1例,肝脑多发泡型棘球蚴病1例。结果颅内包虫病一般表现为典型囊肿性病变,轮廓清晰、锐利,CT值与脑脊液相似,囊内容物密度均一,囊壁无或轻度增强。脑泡型棘球蚴病无特异CT征象,有时表现酷似脑胶质瘤。结论CT是诊断颅内包虫病简捷、准确的影像学检查方法,密切结合临床资料正确诊断多无困难。     

骨包虫病影像学

目的:探讨骨包虫病的影像学表现及其诊断价值.方法:对5例经手术及病理证实的骨包虫病的X线、CT及MRI表现结合文献进行分析,所有5例均行X线平片及CT检查,4例行MRI检查.结果:骨包虫的骨质破坏表现为特征性的膨胀性、多囊性骨质破坏,其在软组织内的生长方式与肝、肺组织中生长方式基本相同,形成包虫囊肿.结论:影像学对评价骨包虫病具有重要意义,尤其是MRI在显示邻近组织病变中有重要作用.     

肝包虫病的CT诊断

包虫病常在幼年感染，潜伏寄生，缓慢增长，无自觉症状，甚至发生合并症仍被误诊，引起严重后果，依靠一般诊断方法难以早期诊断。自应用ＣＴ扫描诊断方法，发现了各种类型肝包虫病的典型图像，不仅可经ＣＴ达早期诊断，而且可检测出各种合并症的特殊病理形态改变。本组作ＣＴ扫描检查２２５例，早期确诊率达１００％。     

Giant intradural extramedullary spinal hydatid cyst—a rare presentation

The hydatidosis, or echinococcosis, has a characteristic geographic distribution, occurring most frequently in sheep-raising regions in Mediterranean, Central Asian, and South American countries and in Australia. Spinal hydatidosis is very rare, and intradural location is a rarer category of spinal hydatidosis. We report a case of intradural extramedullary spinal hydatid cyst in a 9-year-old boy. On magnetic resonance imaging, an intradural extramedullary giant cystic lesion was seen mimicking an arachnoid cyst. However, endemic origin of the patient and positive serology helped to make the diagnosis of hydatid cyst, which was confirmed on postoperative histopathology.     

腹部包虫病的CT诊断（附43例分析）

目的分析腹部包虫病的CT表现。方法回顾分析43例腹部包虫病,21例手术病理证实,另22例Casoni试验阳性并经CT及B超确诊。观察内容病灶部位、数目、大小、形态、密度、结构及边缘等。结果41例囊型包虫病分为单纯型7例,内囊分离型5例,多子囊型17例,实质钙化型8例,混合型4例。多数囊肿外壁与肝实质间有一细线样低密度（文献未曾提到过的表现）,2例为泡型包虫病,呈不规则实质肿块。7例为腹内多器官、多部位包虫病。结论CT能够对腹部包虫病定性和定位。血道播散是腹部多器官、多部位、广泛分布包虫病的另一主要发病途径。     

肺棘球蚴病的CT诊断

目的　分析肺棘球蚴病的CT表现,评价CT诊断的价值。方法　回顾性分析 35例经手术病理证实的肺棘球蚴病的CT表现。结果　肺细粒棘球蚴病 33例,其中单纯囊肿型 11例,含子囊型 3例,钙化 1例,合并破裂 11例,合并感染 4例,破入胸腔 3例。肺泡状棘球蚴病 2例,表现为以肺野外带居多,内部有“小空泡征”或斑点状钙化的多发结节病灶,合并肝泡状棘球蚴病。结论　肺棘球蚴病在CT上有特征性的表现,CT检查可为本病的治疗提供更好的影像依据。     

Hydatid cysts of the liver with concomitant massive peritoneal hydatidosis: a case report

The worldwide distribution of Echinococcus granulosus and its capability to persist in the human organism by causing serious medical and economical damage makes this parasite popular in terms of diagnosis and treatment implementation. Besides the liver as the primary target organ for this parasite, cases of secondary peritoneal hydatidosis are reported. Although rarely, they present with unusual abdominal symptoms with a bizarre presentation on abdominal ultrasound and Computerized Tomography scans. We present a case of a 44 years old male patient with concomitant presence of liver hydatid cysts and massive peritoneal hydatidosis treated with a combination of surgery and postoperative medications. The treatment of peritoneal hydatidosis consists of surgical removal of all the present cysts. In addition, anti-parasitic drugs are recommended to prevent a recurrence. The concomitant presence of liver hydatid cysts and peritoneal echinococcosis can appear as a result of abdominal trauma or iatrogenic spillage during abdominal surgery.     

肝包虫病的CT表现

本文分析了经手术、病理证实的９９例肝包虫病的ＣＴ表现，其中单房型包虫囊肿９２例，肝泡型包虫病７例。各型包虫病有其特殊ＣＴ征象，应用ＣＴ扫描不仅可发现早期病变，并可检出各种合并症的病理形态改变，显著提高了本病的诊断准确率，本组ＣＴ术前诊断准确率为９８．９％。     

Vertebral and spinal cord hydatidosis. Contribution of radiology and x-ray computed tomography. Apropos of 36 cases

A study of 36 cases of vertebral and spinal cord hydatidosis seen between 1970 and 1984 allowed their division into three groups: those with purely intravertebral lesions, vertebral hydatid osteopathy, and hydatid pseudo-Pott's affections. The contribution of conventional radiology is reviewed at length and the importance of computed tomography emphasized for screening of extension and surveillance of "white cancer", a term applied by Deve to bone hydatidosis. Use of the scanner for CT imaging makes screening for residual or recurrent lesions a radiologic exploration.     

Isolated retroperitoneal hydatid cyst. CT study. Apropos of a case

A 30 year old patient with isolated retroperitoneal hydatid cyst was the first case of this type to be studied by CT scanning. Isolated retroperitoneal hydatid cyst is defined as any zone of hydatidosis occurring in the fatty tissue of the spaces lying behind posterior parietal peritoneum, without any parasitic foci in other organs. Differential diagnosis from other primary retroperitoneal cysts has been improved by the availability of modern imaging procedures: ultrasonography and CT scan.     

Pulmonary hydatidosis. Contribution of x-ray computed tomography

33 patients with pulmonary hydatidosis were followed by CT scan imaging. 53 hydatid cysts were found in 31 of them. The remaining two were cases of metastatic hydatidosis, the primary affection was cardiac located with multiple small bilateral cysts. The observed cysts were single in 27 cases and multiple in 4, totalizing 26 cysts. Among the 27 single cysts, 15 were found to be complicated while 8 cysts were complicated among the four cases of multiple hydatidosis. This paper gives the most important signs observed by CT scan imaging in 33 cases examined during 6 months in the Central Service of Radiology Avicenne CHU, Rabat.