220例脑囊虫病的影像学诊断分析

Analysis of Imaging Diagnostic Features on 220 Cases of Cerebro Cysticercosis

目的了解脑囊虫病患者抗囊虫治疗后的疗效以及囊尾蚴在脑影像学上的转归。方法参照脑囊虫病影像学诊断标准对220例该病患者进行分型分析,比较不同型脑囊虫病抗囊虫药物治疗后的脑影像特征及治疗效果。结果抗囊虫治疗前脑MRI表现为不同类型的脑囊虫病患者,治疗后脑组织内囊尾坳在MRI影像上出现不同的转归。脑实质型患者大部分抗囊虫治疗后病灶完全吸收,小部分出现钙化,临床显示几乎全部治愈;脑膜型患者治疗后病灶大多基本吸收,MRI影像上120例患者病灶吸收完全,大多患者见1~2个或多个钙化灶,治疗效果良好;脑室型和混合型患者治疗后病灶吸收稍差,治疗效果也相对较差。结论各型脑囊虫病患者抗囊虫治疗后囊尾蚴出现不同程度的吸收、钙化等影像变化,对预测患者预后及指导临床治疗具有重要意义。

Objective Understand the effects of anti-cysticercosis treatment in patients with cerebral cysticercosis and the outcome of cysticercus on brain imaging.Methods According to the imaging diagnostic criteria of cerebral cysticercosis,we performed classification analysis of 220 patients with the disease,analyzed the classification of patients before anti-cysticercosis treatment,and compared the brain imaging characteristics and treatment of cysticercus after different types of cerebral cysticercosis and anti-cysticercosis drugs effect.Results MRI of the brain before anti-cysticercosis treatment showed that the cysticercosis in the brain tissue of patients with different types of cerebral cysticercosis showed different outcomes on MRI images after treatment.After anti-cysticercosis treatment,most of the brain parenchymal patients were completely absorbed in the lesions,and a small part of them appeared calcification,which was clinically almost completely cured;most of the lesions in the meningeal type patients were absent after treatment,and most of them were basically absorbed.On MRI images,the lesions were completely absorbed in 120 patients.Most patients see 1-2 or more calcification foci,and the treatment effect is good;in patients with ventricular type and mixed type,the absorption of the lesions after treatment is slightly poor,and the treatment effect is relatively poor.Conclusion After anti-cysticercosis treatment of various types of cerebral cysticercosis,the cysticercus cellulosae have different degrees of absorption,calcification and other imaging changes,which are of great significance for predicting the prognosis of patients and guiding clinical application treatment.