CT与超声在肝脏囊型包虫病与非寄生虫性囊肿鉴别中的比较

目的:探讨肝脏囊型包虫病与非寄生虫性囊肿鉴别中超声与CT不同价值比较。方法:选取2013年1月～2014年12月期间在我院行超声及CT检查的肝脏单纯囊肿24例、包虫病患者21例为研究对象,分析两种疾病的临床影像学表现,并进行比较。结果:CT检查病灶35个、超声检测病灶33个,两种疾病病灶形态、分布无明显差异(P>0.05);超声检查显示包虫囊肿底部见随体位运动棘球呦砂样改变,2例囊肿壁不规则增厚及1例病灶周围胆管扩张;CT检查显示包虫囊肿壁钙化4例及病灶周围胆管扩张2例。结论:在肝脏囊型包虫病与非寄生虫性囊肿的鉴别上,超声联合CT检查可提高诊断率。

objective: to study the liver ce and non parasitic cysts identification of ultrasound and CT value is different. Selection methods: from January 2013 to December 2013 in our hospital during ultrasound and CT examination of liver cyst 24 patients, 21 patients with echinococcosis pure as the research object, analyzing clinical imaging findings of two diseases, and comparison. Results: CT examination was 35, ultrasonic testing were 33, two diseases lesions form, distribution has no obvious difference(P > 0.05); Hydatid cyst ultrasound examination showed at the bottom of the saw that change with position movement spines ball shoot sample, 2 cases of cyst wall irregular thickening and 1 case of lesions around the bile duct expansion; CT examination showed hydatid cyst wall calcification and 4 cases of lesions around the bile duct expansion in 2 cases. Conclusion: with non parasitic cysts in the liver ce on the identification of ultrasonic CT examination can improve diagnosis rate.