Schulze K, Treugut H, Mahnke B, Barth V
Radiologe. 1980 Jul;20(7):365-72.
Twenty patients with Echinococcus cysticus and 15 with E. alveolaris were studied. Selective upper abdominal angiographies, performed in most of these cases, were reviewed retrospectively for typical angiographic changes. In a large percentage, E. cysticus demonstrated typical cystic and expansive signs; atypical vessels were rarely seen. How the "rim sign" develops is demonstrated. Usual signs of E. alveolaris are incomplete solid and necrotic space occupying lesions, as seen also in malignancy. Although angiography offers a high diagnostic rate in hepatic manifestation of this parasitic disease, it has been superseded today by sonography and computer tomography. It is, however, still a valuable investigation in pre-operative work-up.
对20例囊型包虫病患者和15例泡型包虫病患者进行了研究。对其中大多数病例所做的选择性上腹部血管造影进行回顾性分析，以寻找典型的血管造影变化。在很大比例的囊型包虫病病例中显示出典型的囊性和扩张性征象；很少见到非典型血管。文中展示了“边缘征”是如何形成的。泡型包虫病的常见征象是不完全实性和坏死性占位性病变，这在恶性肿瘤中也可见到。尽管血管造影在这种寄生虫病的肝脏表现中具有较高的诊断率，但如今它已被超声检查和计算机断层扫描所取代。然而，它在术前检查中仍然是一项有价值的检查。
