肺吸虫病的临床与CT表现

目的 认识肺吸虫病的ＣＴ表现。方法 收集实验室检查证实为肺吸虫的患者２４例，男性１５例，女性９例。年龄在２３－７５岁之间，平均年龄３４．４岁。全部作胸部ＣＴ平扫，部分加作增强扫描，并分析其ＣＴ表现。结果 肺吸虫病肺内ＣＴ表现包括：（１）单侧或以 肺野出现斑片状、结节状影，边缘模糊，部位、状态易变，少数病例可见特征表现的“隧道”征；（２）肺门影增大，肺纹理紊乱或病灶呈成簇状窟穴状影；（３）胸腔只液常

The clinical and CT appearances of the pulmonary distomiasis

Purpose To evaluate the features of the pulmonary distomiasis in CT scan. Methods Twenty - four cases of the pulmonary disto-miasis confirmed by the laboratory were retrospectively studied. There were fifteen male and nine female in the group (age range, 23 - 75years; mean age,34.4years) .The conventiolan CT were performed in all cases and contrast enhanced in part.Results The CT findings of pulmonary distomiasis included: (1)unilateral or bialteral mottling,patchy and nodular shadows with hazy border.The location and shape were variable.The tunnel sign could be seen in a few patients. (2)Hilum of lung enlarged, lung markings huddle, bunch shadow and edn shadow can be seen in the focces. (3)pleural effusion usually existed with alternative occurence of pleural effusion and pericardial effusion. Conclusion Combine clinic with CT appearance is of benefit in diagnosis of the pulmonary distomiasis.