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孤立性肌肉和软组织囊尾蚴病的超声评估

An ultrasonographic evaluation of solitary muscular and soft tissue cysticercosis.

作者信息

Sharma P, Neupane S, Shrestha M, Dwivedi R, Paudel K

机构信息

Department of Radiology and Imaging, Nepalgunj Medical College, Banke, Nepal.

出版信息

Kathmandu Univ Med J (KUMJ). 2010 Apr-Jun;8(30):257-60. doi: 10.3126/kumj.v8i2.3571.

DOI:10.3126/kumj.v8i2.3571
PMID:21209548
Abstract

BACKGROUND

Cysticercosis in humans is infection with the larval form (cysticercus cellulosae) of the pork tapeworm T. solium. Encystment of larvae can occur in almost any tissue. The location of cysts in order of frequency is the central nervous system, subcutaneous tissue and striated muscle, vitreous humour of the eye and, rarely, other tissues. High resolution ultrasound can be used in the diagnosis of muscular and soft tissue cysticercosis.

OBJECTIVE

The aim of this study is to evaluate the ultrasonographic findings in cases of muscular and soft tissue cysticercosis.

MATERIALS AND METHODS

It was a retrospective review of the cases of muscular and soft tissue cysticercosis which were diagnosed by ultrasound during June 2007 to May 2009 in the department of Radiology and Imaging, Nepalgunj Medical College Teaching Hospital. A total of six patients were evaluated.

RESULT

There were four males and two females. Age of the patient ranged from 18 to 50 years. All of the patients presented with a swelling with pain in fi ve of them. There was a wide variation in the location of the cysts. In all cases ultrasound revealed a cystic lesion with an echogenic eccentric pedunculated nodule attached to the wall. The mean diameter of the cyst was 6mm. Smooth wall was present in fi ve cases whereas one of the cysts revealed irregular wall. Pericystic inflammatory changes were seen in the adjacent muscles.

CONCLUSION

Ultrasound is a safe and non-invasive method that can be used in the diagnosis of muscular and soft tissue cysticercosis.

摘要

背景

人类囊尾蚴病是由猪带绦虫幼虫(猪囊尾蚴)感染所致。幼虫可在几乎任何组织中形成包囊。囊肿出现的部位按频率依次为中枢神经系统、皮下组织和横纹肌、眼玻璃体液,以及很少见的其他组织。高分辨率超声可用于诊断肌肉和软组织囊尾蚴病。

目的

本研究旨在评估肌肉和软组织囊尾蚴病的超声检查结果。

材料与方法

对尼泊尔根杰医学院教学医院放射科和影像科2007年6月至2009年5月期间经超声诊断的肌肉和软组织囊尾蚴病病例进行回顾性研究。共评估了6例患者。

结果

4例男性,2例女性。患者年龄在18至50岁之间。所有患者均出现肿胀,其中5例伴有疼痛。囊肿的位置差异很大。所有病例超声均显示一个囊性病变,壁上附着一个有回声的偏心蒂状结节。囊肿的平均直径为6mm。5例囊肿壁光滑,而其中1例囊肿壁不规则。在相邻肌肉中可见囊周炎症改变。

结论

超声是一种安全、无创的方法,可用于诊断肌肉和软组织囊尾蚴病。

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