脑血吸虫病11例的CT诊断报告

目的：探讨脑血吸虫病的CT特征及其诊断价值。方法：11例行CT扫描,均结合患者疫水接触史、实验室检查证实。结果：14个病灶位于大脑半球,1个位于小脑半球。多发病灶4例,单发病灶7例。肉芽肿型6例,脑炎型4例,梗塞型1例。CT上呈低密度或等密度区,周围有水肿及占位效应,结节或斑片状强化,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 11Cases

Objective:To study CT features of brain schistosomiasis and its diagnostic value。 Materials and Methods:11 cases of brain schistosomiasis were scanned by CT,which diegnosied by laboratory test and the history of contacting the infected water.Results:All the lesions were located in cerebra.There were multi foci in hemisphere and single focus in cerebellar.They showed isodensity or a little low density,edema and mass of feets,nodular or patchy enhancement.The concomitant regional cerebral alrophy 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.