Salas-Coronas Joaquín, Vázquez-Villegas José, Villarejo-Ordóñez Antonio, Sánchez-Sánchez José Carlos, Espada-Chavarría José, Soriano-Pérez Manuel Jesús, Cabeza-Barrera M Isabel, Cabezas-Fernández M Teresa
Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, Spain.
Enferm Infecc Microbiol Clin. 2013 Apr;31(4):205-9. doi: 10.1016/j.eimc.2012.04.003. Epub 2012 Jun 9.
Imaging techniques, primarily ultrasound, are useful in the diagnosis and monitoring of patients with schistosomiasis in endemic areas.
Study of 219 patients treated in sub-Saharan Tropical Medicine Unit with a diagnosis of imported schistosomiasis by imaging techniques investigations including plain abdominal radiography and ultrasound.
A total of 17.8% of patients who had an abdominal X-ray showed findings suggestive of schistosomiasis, in most cases bladder calcifications. In 73 patients (41%) ultrasound showed pathological findings, mainly diffuse or focal wall thickening (26 patients), nodular lesions (n=14), and pseudopolyps (n=8). One patient, who had a large bladder mass (9cm) and bilateral ureterohydronephrosis, was finally diagnosed with squamous cell carcinoma of the bladder. Ultrasound liver abnormalities were found in 10 patients, 4 with signs of portal hypertension, of which 3 had the characteristic periportal fibrosis in schistosomiasis.
Imaging studies, especially abdominal and bladder ultrasound, are useful for diagnosis, the study of disease and monitoring of patients with schistosomiasis in non-endemic countries.
成像技术，主要是超声，在流行地区对血吸虫病患者的诊断和监测中很有用。
对撒哈拉以南热带医学科收治的219例经影像学检查（包括腹部平片和超声）诊断为输入性血吸虫病的患者进行研究。
共有17.8%进行腹部X线检查的患者显示出提示血吸虫病的表现，大多数情况下为膀胱钙化。73例患者（41%）超声显示有病理表现，主要为弥漫性或局灶性壁增厚（26例）、结节性病变（n = 14）和假性息肉（n = 8）。1例膀胱有巨大肿块（9cm）且双侧输尿管肾盂积水的患者最终被诊断为膀胱鳞状细胞癌。10例患者超声显示肝脏异常，4例有门静脉高压体征，其中3例有血吸虫病特征性的门静脉周围纤维化。
影像学检查，尤其是腹部和膀胱超声，对非流行国家血吸虫病患者的诊断、病情研究和监测很有用。
