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肝包虫病术后CT评估:诊断陷阱

Postsurgical evaluation of hydatid disease with CT: diagnostic pitfalls.

作者信息

Kalovidouris A, Gouliamos A, Demou L, Vassilopoulos P, Vlachos L, Papavassiliou K

出版信息

J Comput Assist Tomogr. 1984 Dec;8(6):1114-9. doi: 10.1097/00004728-198412000-00013.

DOI:10.1097/00004728-198412000-00013
PMID:6501619
Abstract

Forty-five patients having previously undergone surgical removal of hydatid cysts were examined for recurrence using CT. Recurrence of hydatid disease was demonstrated in 11 patients. At the site of surgical cyst evacuation, cyst-like structures (pseudocysts) were demonstrated in 15 patients. Although pseudocysts were smaller than the original cysts and demonstrated a flattened appearance and a thicker wall, differentiation from recurrent viable hydatid cysts was difficult. Five of the pseudocysts had attenuation values between 10 and 35 HU, and eight had attenuation values close to that of fat (- 20 to - 100 HU). The findings of this study may be important in the follow-up of patients with hydatid disease.

摘要

对45例先前接受过包虫囊肿手术切除的患者进行CT检查以评估复发情况。11例患者显示有包虫病复发。在手术囊肿清除部位,15例患者显示有囊肿样结构(假性囊肿)。尽管假性囊肿比原始囊肿小,外观扁平且壁更厚,但与复发性存活包虫囊肿进行区分仍很困难。其中5个假性囊肿的CT值在10至35HU之间,8个的CT值接近脂肪的CT值(-20至-100HU)。本研究结果可能对包虫病患者的随访具有重要意义。

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Postsurgical evaluation of hydatid disease with CT: diagnostic pitfalls.肝包虫病术后CT评估:诊断陷阱
J Comput Assist Tomogr. 1984 Dec;8(6):1114-9. doi: 10.1097/00004728-198412000-00013.
2
CT characterization of multivesicular hydatid cysts.多囊性包虫囊肿的CT特征
J Comput Assist Tomogr. 1986 May-Jun;10(3):428-31.
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A multivesicular cardiac hydatid cyst with hepatic involvement.一个累及肝脏的多囊性心脏包虫囊肿。
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[Uncommon abdominal sites of hydatid disease. Our experience with the surgical treatment of 15 cases].[包虫病的罕见腹部部位。我们对15例手术治疗的经验]
Chir Ital. 2004 May-Jun;56(3):333-44.
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A huge cerebral hydatid cyst associated with small liver cyst: a comparison of growth rates and sizes.巨大脑包虫囊肿合并小肝囊肿:生长速率与大小的比较
Neurosurg Rev. 1996;19(2):123-6. doi: 10.1007/BF00418083.
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Thoracic extension of hydatid cysts of the liver.肝包虫囊肿的胸部延伸
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Splenic hydatid cyst attacking retroperitoneum.脾包虫囊肿侵犯腹膜后间隙。
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[Computerized tomography in the location of hepato-splenic echinococcal cysts. Presentation of 2 cases].[肝脾包虫囊肿定位的计算机断层扫描。2例报告]
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Multiple mediastinal hydatid cysts: a case report.多发性纵隔包虫囊肿:一例报告
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引用本文的文献

1
Hydatid cysts of the liver in children: percutaneous treatment with ultrasound follow-up.儿童肝包虫囊肿:超声随访下的经皮治疗。
Pediatr Radiol. 2011 Jul;41(7):890-4. doi: 10.1007/s00247-011-2088-1. Epub 2011 May 24.
2
Recurrence of hydatid disease.
World J Surg. 1988 Oct;12(5):700-4. doi: 10.1007/BF01655892.
3
Hepatic echinococcosis complicated with transphrenic migration and bronchial fistula: CT demonstration.肝包虫病合并经膈迁移及支气管瘘:CT表现
Gastrointest Radiol. 1990 Spring;15(2):115-8. doi: 10.1007/BF01888752.