Merkle E, Usadel S, Vogel J, Kern P, Friedrich J M, Brambs H J
Radiologische Klinik und Poliklinik, Universität Ulm.
Aktuelle Radiol. 1995 Mar;5(2):101-5.
In order to ascertain the typical computed tomographic findings of hepatic alveolar echinococcosis, 24 computed tomograms of 19 patients were evaluated. The liver was involved in all cases whereas the diaphragma was infiltrated in 32%, and the retroperitoneal area in 42%. The right liver lobe was affected in 65%. Both before and after intravenous bolus contrast medium administration, the lesions were mainly inhomogeneous and of low density; a masking of the lesions due to the contrast medium administration was not observed; the enhancement pattern was irregular. Calcifications were detected in 96% of the cases, cystic structures in 50%, and cholestasis in 54%. On the basis of the crucial finding of calcifications in combination with the other typical observations, CT seems to be very suitable for the evaluation of hepatic alveolar echinococcosis.
为了确定肝泡型包虫病的典型计算机断层扫描表现，对19例患者的24张计算机断层扫描图像进行了评估。所有病例均累及肝脏，其中32%累及膈肌，42%累及腹膜后区域。65%的患者右肝叶受累。静脉推注造影剂前后，病变主要呈不均匀低密度；未观察到造影剂掩盖病变的情况；强化方式不规则。96%的病例检测到钙化，50%有囊性结构，54%有胆汁淤积。基于钙化这一关键表现以及其他典型观察结果，CT似乎非常适合用于评估肝泡型包虫病。
