徐昕,袁新宇,杨小英,王娅宁,董桂花,韩淑娟,余海宁.儿童肝包虫病的CT特点[J].中国医学影像技术,2017,33(9):1305~1308
儿童肝包虫病的CT特点
CT features of hepatic echinococcosis in children
投稿时间:2017-03-10  修订日期:2017-07-24
DOI:10.13929/j.1003-3289.201703046
中文关键词:  儿童  棘球蚴病,肝  体层摄影术,X线计算机
英文关键词:Child  Echinococcosis, hepatic  Tomography, X-ray computed
基金项目:
作者单位E-mail
徐昕 青海省妇女儿童医院放射科, 青海 西宁 810007  
袁新宇 首都儿科研究所附属儿童医院放射科, 北京 100020 xinyu_y@sina.com 
杨小英 青海省妇女儿童医院放射科, 青海 西宁 810007  
王娅宁 青海省妇女儿童医院放射科, 青海 西宁 810007  
董桂花 青海省妇女儿童医院放射科, 青海 西宁 810007  
韩淑娟 青海省妇女儿童医院放射科, 青海 西宁 810007  
余海宁 青海省妇女儿童医院放射科, 青海 西宁 810007  
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中文摘要:
      目的 探讨儿童肝包虫病的CT表现。方法 回顾性分析27例经病理和/或血清学证实的肝包虫病患儿的临床和CT资料。结果 27例肝包虫病中,肝囊型包虫病26例,肝泡型包虫病1例;单纯肝包虫病10例,合并其他器官包虫病17例;肝内单发包虫18例,多发包虫9例。共发现囊型病灶47个,其中单囊型囊肿占51.06%(24/47),内囊塌陷型囊肿占42.55%(20/47),钙化型囊肿占4.26%(2/47),多子囊型囊肿占2.13%(1/47),未见实变型囊肿;泡型病灶1个。74.47%(35/47)的囊肿直径>5 cm。结论 CT可定性诊断儿童肝包虫病,是可靠的检查方法。
英文摘要:
      Objective To investigate the CT features of hepatic echinococcosis in children. Methods Clinical and CT data of 27 cases with hepatic echinococcosis confirmed by pathology and/or serology were retrospectively analyzed. Results Totally there were 26 cases of cystic echinococcosis and 1 case of alveolar echinococcosis. Ten cases were with simple hepatic echinococcosis and 17 cases with other organic echinococcosis, 18 cases of intrahepatic single hydatid and 9 cases of intrahepatic multiple hydatid. A total of 1 alveolar lesion and 47 cystic lesions were found, including unilocular cyst accounted for 51.06% (24/47), cysts with collapse of the internal capsule accounted for 42.55% (20/47), cysts with wall calcification accounted for 4.26% (2/47) and multiple cysts accounted for 2.13% (1/47). There was no solid lesions. The cyst diameters which were larger than 5 cm accounted for 74.47%(35/47). Conclusion The CT can qualitatively diagnose hepatic echinococcosis in children. It is a reliable method of examination.
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