Haertel M, Fretz C, Fuchs W A
Rofo. 1980 Aug;133(2):164-70. doi: 10.1055/s-2008-1056698.
The computer tomographic appearances and differential diagnosis in 22 patients with echinococcosis are described; of these, twelve were of the cystic and ten of the alveolar type. The computer tomographic appearances are characterised by the presence of daughter cysts (66%) within the sharply demarkated parasitic cyst of water density. In the absence of daughter cysts, a definite aetiological diagnosis cannot be made, although there is a tendency to calcification of the occasionally multiple echinococcus cysts. The computer tomographic appearances of advanced alveolar echinococcosis are characterised by partial collequative necrosis, with calcification around the necrotic areas (90%). The absence of CT evidence of partial necrosis and calcification of the pseudotumour makes it difficult to establish a specific diagnosis. The conclusive and non-invasive character of the procedure and its reproducability makes computer tomography the method of choice for the diagnosis and follow-up of echinococcosis.
本文描述了22例棘球蚴病患者的计算机断层扫描表现及鉴别诊断；其中，12例为囊性，10例为泡型。计算机断层扫描表现的特征是在边界清晰的水样密度寄生囊肿内存在子囊（66%）。在没有子囊的情况下，尽管偶尔多个棘球蚴囊肿有钙化倾向，但无法做出明确的病因诊断。晚期泡型棘球蚴病的计算机断层扫描表现特征为部分液化性坏死，坏死区域周围有钙化（90%）。假肿瘤缺乏部分坏死和钙化的CT证据使得难以做出特异性诊断。该检查方法具有结论性、非侵入性及其可重复性，使其成为棘球蚴病诊断和随访的首选方法。
