摘要
作者分析了１３９例华支睾吸虫肝病患者的ＣＴ表现。发现其肝内胆管扩张可分为四型。细长枝型：肝内胆管呈管状扩张为主且长度大于６ｃｍ，３４例（２４．４６％）；小囊型：胆管以囊状扩张为主，２０例（１４．３９％）；细短枝型：胆管以管状扩张为主，但长度小于６ｃｍ，１２例（８．６３％）；混合型：兼具上述２种或３种改变，７３例（５２．５２％）。本病胆管扩张的特点为：（１）肝外胆管无明显扩张，肝内以小胆管扩张为主，与肝门区较大胆管扩张不成比例。（２）肝内管状扩张胆管的直径与长度比多小于１：１０。（３）囊状扩张的小胆管以肝周边分布为主，具有诊断特异性。作者认为ＣＴ是本病较好的影像学检查方法之一。
The CT findings of 139 patients with clonorchis sinensis hepatopathy were analyzed.Four types of the dilated bile ducts within the liver were observed:(1)Slim fong tubular type,the dilat-ed bile ducts were longer than 6cm,34 cases(24. 46%);(2)Saccular type,the dilated bile ducts were cystic in appearance,20 cases(14.39%);(3)slim short tubular type,the dilated bile ducts were short-er than 6cm, 12 cases(8.63%);(4) mixed type,73 cases(52.52%).The characteristics of the dilated bile ducts were as follow:(1) No obvious dilatation of extrahepat-ic bile ducts. Dilated intrahepatic bile ducts were mainly found at the periphery of the liver;(2) The proportion of the diameter to the length of the dilated bile ducts was less than one to ten;(3) Saccular dilatation of bile ducts mainly at the periphery of the livers was characteristic of this disease. The au-thors were of the opinion that CT is the imaging modality of choice to diagnose this disease.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1995年第9期620-623,共4页
Chinese Journal of Radiology
关键词
华枝睾吸虫病
肝吸虫病
CT
诊断
Clonorchis sinensis Hepatopathy, parasitic Tomography, X-ray computed
