西藏高原牧区肝包虫病患者CT表现分析

CT Examination in the Diagnosis of Liver Hydatidosis in Tibet Highland Pasture

目的:探讨西藏高原牧区肝包虫病CT的特点,更好的指导临床诊断和治疗。方法:分析27例肝包虫病CT的特点和诊断,探讨其CT征象及价值。结果:共收集包虫病患者27例进行CT检查。单房性包虫囊肿25个,CT表现为囊性病变,囊内密度均匀,可见等密度的囊壁,囊比多均匀光滑,可有线状或环状钙化;有时合并内在性破裂,表现为内囊与外囊分离,或破碎的内囊漂浮在囊腔内。多房性包虫囊肿共2个,CT平扫可见多个子囊和程度不同的基质,囊壁可见钙化。结论:西藏高原牧区肝包虫病患者CT平扫有特定的影像特点。

Objective： To investigate the clinical application of CT examination in the diagnosis of liver hydatidosis in Tibet highland Pasture. Methods： A total of 27 cases with liver hydatidosis underwent CT examination. The CT manifest and signs were collected and analyzed. Results： The liver hydatidosis had multiple CT manifest and signs. 25 cases had single follicle and the density of the water is even. The capsule wall is even and smooth and liner or circular calcification could be found. Breakage of the capsule wall could be found. The inner and outer wall separated and cracked inner wall drifted in the water. 2 cases had multiple follicle. Several capsule with different contents were found in CT images. Calcification could be found in the capsule wall. Conclusion： Liver hydatidosis in Tibet highland pasture has special CT signs. CT examination benefits the early diagnosis of it.