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弓蛔虫病的胸部 CT 表现:与实验室结果的相关性。

Chest CT findings of toxocariasis: correlation with laboratory results.

机构信息

Department of Radiology, Hallym University, College of Medicine, Anyang-city, Kyungki-do, Republic of Korea.

Department of Radiology, Hallym University, College of Medicine, Anyang-city, Kyungki-do, Republic of Korea.

出版信息

Clin Radiol. 2014 Jun;69(6):e285-90. doi: 10.1016/j.crad.2014.01.025. Epub 2014 Mar 12.

DOI:10.1016/j.crad.2014.01.025
PMID:24630134
Abstract

AIM

To assess the relationship between chest computed tomography (CT) findings of patients with toxocariasis and levels of serological markers.

MATERIALS AND METHODS

A total of 38 cases of patients diagnosed with toxocariasis by enzyme-linked immunosorbent assay (ELISA), CT, and serological markers were retrospectively reviewed. The presence of nodule with or without ground-glass opacity (GGO) halo, consolidation, focal GGO, pleural effusion, and lymphadenopathy at chest CT were evaluated. Statistical analysis was performed with the Fisher's exact test.

RESULTS

The most common chest CT findings were nodule (n = 12, 31.6%) and focal GGO (n = 12, 31.6%). In patients with normal eosinophil levels, focal GGO (n = 9, 37.5%) was the most common finding. In contrast, nodule with a GGO halo (n = 7, 50%) was the most common finding in the eosinophilia group. Nodule with a GGO halo was more common in the eosinophilia group, with a statistically significant difference (p = 0.017). Nodule was more common in the eosinophilia group, and focal GGO was more common in the normal eosinophil group.

CONCLUSION

The most common chest CT findings in toxocariasis were nodule with or without GGO halo, and focal GGO. In the eosinophilia group, nodule with a GGO halo was significantly more frequent. Other CT findings did not show a statistically significant relationship with serological markers.

摘要

目的

评估类圆线虫病患者的胸部计算机断层扫描(CT)表现与血清学标志物水平之间的关系。

材料和方法

回顾性分析了 38 例酶联免疫吸附试验(ELISA)、CT 和血清学标志物诊断为类圆线虫病的患者。评估了胸部 CT 上存在结节伴或不伴磨玻璃影(GGO)晕、实变、局灶性 GGO、胸腔积液和淋巴结病。采用 Fisher 确切检验进行统计学分析。

结果

最常见的胸部 CT 表现为结节(n = 12,31.6%)和局灶性 GGO(n = 12,31.6%)。在嗜酸性粒细胞水平正常的患者中,局灶性 GGO(n = 9,37.5%)是最常见的表现。相比之下,嗜酸性粒细胞增多组中最常见的表现是结节伴 GGO 晕(n = 7,50%)。结节伴 GGO 晕在嗜酸性粒细胞增多组中更为常见,差异具有统计学意义(p = 0.017)。结节在嗜酸性粒细胞增多组中更为常见,而局灶性 GGO 在嗜酸性粒细胞正常组中更为常见。

结论

类圆线虫病最常见的胸部 CT 表现为结节伴或不伴 GGO 晕和局灶性 GGO。在嗜酸性粒细胞增多组中,结节伴 GGO 晕更为常见。其他 CT 表现与血清学标志物之间无显著相关性。

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