超声在囊型肝包虫活性判断中的应用价值

摘要

Objective To explore ultrasonic judgment in the activity of hepatic cystic echinococcosis (HCE).Methods 148 cases confirmed by CT、 MRI、 pathology、 ultrasound-guided puncture and sclerotherapy were retrospectively analyzed. There were 45 cases singlecysts, 27 cases daughfer cysts,20 cases internal cysts separating,56 cases solid cysts. Results There were ultrasonic features on the the activity of hydatid disease including singlecyst, daughter cysts, double wall, hydatid sands, intracystic "falling snow sign", internal cysts collapse,daughter cysts deformation,wall calcification,progressive severe intracystic consolidation and calcification. Conclusions Ultrasound can objectively reflect the activity of hepatic cystic echinococcosis in different pathology periods.%目的 探讨超声在囊型肝包虫活性判断中的应用价值.方法 回顾性分析148例经CT、MRI印证以及超声诊断并经超声引导下穿刺硬化治疗、手术病理证实的单纯囊肿型45例、子囊型27例、内囊分离型20例、实变型56例的囊型肝包虫.结果 在囊型肝包虫活性判断中,声像图有单囊征、子囊征、双层壁、包虫砂"落雪征"、内囊塌陷、子囊变形、囊壁钙化、囊内容物实变与钙化并进行性加重的特征性表现.结论 超声检查能够客观反映囊型肝包虫不同病理阶段的活性程度.