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肝囊性包虫病的CT表现与临床病理改变的相关性研究

谢天皓 吕海龙 赵阳阳 张示杰 车小双 彭心宇

实用医学杂志2013,Vol.29Issue(13):2107-2110,4.
实用医学杂志2013,Vol.29Issue(13):2107-2110,4.DOI:10.3969/j.issn.1006-5725.2013.13.014

肝囊性包虫病的CT表现与临床病理改变的相关性研究

Correlation between CT findings and clinical pathological changes of hepatic hydatid cyst

谢天皓 1吕海龙 1赵阳阳 1张示杰 1车小双 1彭心宇1

作者信息

  • 1. 832002 石河子大学医学院第一附属医院肝胆外科
  • 折叠

摘要

Abstract

Objective To evaluate the significance of CT findings of hepatic hydatid cyst in judging the clinical pathological changes.Methods 558 cases with 691 hepatic hydatid cysts which had been confirmed by CT diagnosis and pathology were collected.The CT appearances and intra-operative findings were analyzed retrospectively.Results Type CL & CE1 appeared a unilocular round cyst with a smooth uniform (wall not visible in type CL),and clear fluid in cyst.Type CE2 has daughter cysts,which was indicated by "wheellike" or "honeycomb-like",and clear fluid in mother and daughter cysts which were look like colorless and translucent grapes.Type CE3 appeared "water snake-like" or "streamers-like",and mother cyst density increased in one which contains daughter cysts ; Ruptured endocyst and daughter cysts float in the middle of cyst fluid or changed to jelly-like material.Type CE4 appeared benign-like image which demonstrated uniform or uneven density and contains jelly-like and cheese-like contents which mixed with ruptured or necrotic endocyst and daughter cysts.Type CE5 was characterized by calcification.The variability of the CT value of four kinds of cystic content (liquid,jellylike,solidation and calcification) and different types of mother cyst and daughter cyst was statistically significant (P <0.001) respectively.Conclusions CT characteristic images of hepatic hydatid cyst are performed by a variety of reasons.According to CT findings to help raise awareness of the disease,and improve accuracy during operation.

关键词

棘球蚴病/体层摄影术,X线计算机/病理学/分型

Key words

Echinococcosis / Tomography, X-Ray computed / Pathology / Classification

引用本文复制引用

谢天皓,吕海龙,赵阳阳,张示杰,车小双,彭心宇..肝囊性包虫病的CT表现与临床病理改变的相关性研究[J].实用医学杂志,2013,29(13):2107-2110,4.

基金项目

国家科技支撑计划项目(编号:2009BAI82B06) (编号:2009BAI82B06)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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