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目的 分析肺棘球蚴病的CT表现,评价CT诊断的价值。方法 回顾性分析 35例经手术病理证实的肺棘球蚴病的CT表现。结果 肺细粒棘球蚴病 33例,其中单纯囊肿型 11例,含子囊型 3例,钙化 1例,合并破裂 11例,合并感染 4例,破入胸腔 3例。肺泡状棘球蚴病 2例,表现为以肺野外带居多,内部有“小空泡征”或斑点状钙化的多发结节病灶,合并肝泡状棘球蚴病。结论 肺棘球蚴病在CT上有特征性的表现,CT检查可为本病的治疗提供更好的影像依据。
Objective To analyze the CT manifestations of pulmonary hydatid disease and evaluate the value of CT diagnosis. Methods A retrospective analysis of 35 cases of pathologically confirmed pulmonary alveolar echinococcosis CT findings. Results 33 cases of pulmonary echinococcus granulosus, including simple cyst in 11 cases, containing ascocytic in 3 cases, calcification in 1 case, combined with rupture in 11 cases, 4 cases of combined infection, broken into the chest cavity in 3 cases. Alveolar alveolar echinococcosis in 2 cases, manifested as the majority of lung field band, internal “small vacuole sign” or spot-like calcified multiple nodules, combined with hepatic alveolar hydatid disease. Conclusion Pulmonary alveolar echinococcosis has characteristic features on CT, and CT examination can provide a better imaging basis for the treatment of this disease.