肝华支睾吸虫病的CT表现

The CT features of clonorchiasis

目的:探讨肝吸虫病的CT表现和诊断价值。方法:对经临床证实的肝吸虫病156例的CT表现进行分析和总结。结果:156例患者CT均表现为肝内胆管呈囊状及杵状扩张,特别是肝脏边缘部明显,胆总管无扩张。扩张胆管内见虫体呈点状软组织影58例。胆囊内见虫体软组织沉积43例,合并胆囊结石51例,合并胆管炎32例,并发肝脓肿8例。合并胆管癌8例。结论:肝吸虫病CT表现具有特征性,结合实验室检查可明确诊断。所以CT对肝吸虫病的诊治具有重要作用。

Objective：To study the CT features of clonorehiasis and diagnostic value of CT.Methods：The manifestations of 156 cases with clonorehiasis proved by clinic and pathology were analyzed. Results：Hepatic biliary ducts were cyst and tract dilated in all 156 cases, especially, the capillary bile ducts along the edge of liver, whereas, common bile duct was no dilatation. The fluke bodies inside the dilated biliary ducts （n= 58） and in the gallbladder （n=43） can be seen, the CT features included small dot, flat salt tissue density, gall bladder stone （n=51）, cholangitis （n= 32）, hepatic abscess （n= 8）, cholangioearcinoma （n = 8）.Conclusion：The CT features of clonorehiasis had characteristics. Combining with the labomatory examination, CT can make a definite diagnosis of the disordes, and has a important value for clinical treatment in early stage.