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目的 :评价CT对单发小型脑脓肿的诊断价值和临床意义。材料和方法 :回顾性分析 60例经临床和手术病理证实的单发小型脑脓肿的CT表现 ,男 44例 ,女 16例 ,年龄 3～ 47岁 ,平均 17 2岁 ,全部病例均作了CT平扫和增强。结果 :病灶位于顶叶 48例 ,额叶 5例 ,额顶叶 4例 ,颞叶 2例 ,枕叶 1例 ,平扫显示一侧半球灰白质交界区局限性片状低密度影 ,轻度占位效应 ,增强无强化或单纯脑回状强化 4例 ,环状强化 3 0例 ,结节状强化 2 6例。结论 :CT不仅对单发小型脑脓肿的诊断和鉴别诊断有重要价值 ,而且有利于指导临床治疗。
Objective: To evaluate the diagnostic value and clinical significance of CT in solitary small brain abscess. Materials and Methods: A retrospective analysis of 60 cases of clinical and surgical pathology confirmed single brain abscess CT manifestations, 44 males and 16 females, aged 3 to 47 years, mean 17 2 years, all cases were made of CT Sweep and enhance. Results: The lesions were located in 48 cases of parietal lobe, frontal lobe in 5 cases, frontal lobe in 4 cases, temporal lobe in 2 cases and occipital lobe in 1 case. Space-occupying effect was enhanced in 4 cases without enhancement or simple ipsilateral gyrus strengthening, with ring-like enhancement in 30 cases and nodular enhancement in 26 cases. Conclusion: CT is not only valuable for the diagnosis and differential diagnosis of solitary small brain abscess, but also conducive to guiding clinical treatment.