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血吸虫致病机理及临床影像特征分析 被引量:2

The pathogenic mechanism of schistosomiasis and analysis of clinical image features
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摘要 目的:探索血吸虫病的传播途径、临床影像特征及形成的机理。方法:通过我院近10年的病例统计、归纳,探索不同患者在临床及影像上的共同特征,分析其形成的机理。结果:血吸虫患者与性别、年龄无关,常伴有并发综合症,患者临床上表现较多相同特征。结论:血吸虫患者在虫卵长期沉积作用下,产生结节,造成肝脏纤维硬化或肝脾肿大及功能障碍,最后导致肝腹水和肝硬化等,在声像图上表现为肝静脉行径变细、弯曲,肝内光点增强、增粗不均匀,治愈后回声减弱,光点缩小,分布趋匀,B超和CT是当前临床诊断最有效的工具。 Objective: To study the transmission route of schistosomiasis, the clinical image features and the formation mechanism. Methods: By statistical analysis and summary of cases in our hospital in the last decade, the common characteristics of different patients in clinical and imaging were explored, and the formation mechanism was analyzed. Result: No correlation was found in age and gender of the schistosomiasis pa- tients, and they were often accompanied by concurrent syndromes. The patients had a number of common characteristics in clinical manifestations. Conclusion: The long - term effect of schistosomem eggs deposited in patients led to formation of nodules, and caused liver fibrosis or liver splenomegaly and dysfunction, and finally led to liver ascites and liver cirrhosis. The ultrasonographic images showed that the hepatic veins became thinner and was bended, and there was uneven spot enhancement and thickening in the Liver. After curing, the echo became weaker, the spot was reduced and distributed more evenly. Type - B uhrasonography and CT are currently the most effective tools for clinical diagnosis.
出处 《黔南民族医专学报》 2014年第2期95-98,共4页 Journal of Qiannan Medical College for Nationalities
关键词 血吸虫病 钉螺 虫卵结节 肝脏纤维化 影像学 schistosomiasis oncomelania ova nodule liver fibrosis imaging
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