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肠道的anisakiasis:CT成像发现 - - 一个单一中心10年的描述性研究
Zhao Hui Chen Zhou1, Gerardo Ayala Calvo2, Elena Martínez Chamorro2
1Department of Radiology, Hospital Universitario 12 de Octubre, Madrid, Spain. zhaohui.chen@salud.madrid.org.
计算机断层扫描 (CT) 对于诊断肠道无菌病,一种寄生虫感染,经常被误认为是其他疾病,非常有价值. 关键的CT检测结果包括肠壁加厚,大肠卷入,炎和中肠脂肪条纹.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 放射学 放射学是指放射学
背景情况:
- 肠道阿尼萨基病是一种寄生虫感染,由摄入含有阿尼萨基斯幼虫的生鱼或未煮熟鱼引起.
- 临床表现往往是不特定的,导致诊断挑战和延迟.
研究的目的:
- 在10年的时间内,回顾肠道无菌病的计算机断层扫描 (CT) 发现.
- 评估与这种寄生虫感染相关的特征性成像特征.
主要方法:
- 追溯分析71名怀疑患有肠道无病症的患者,这些患者接受了腹腔皮层CT.
- 经验丰富的放射科医生对CT图像进行审查,以确定特征性发现.
主要成果:
- 确定了47例确诊的肠道无血病病例,主要影响52岁的男性.
- 常见的CT检测结果包括肠壁加厚与下水 (91.5%的膜参与),肠道阻塞 (70.2%),炎 (95.7%) 和中肠脂肪条纹 (68.1%).
- 感染与生鱼的消费有关,中的鱼是最常见的来源.
结论:
- CT是诊断肠道无病症的宝贵工具,特别是当临床症状不特定时.
- 典型的CT检测结果,如阴道壁加厚,,中腹脂肪排纹等,有助于诊断.
- 同时涉及多个肠道段也可以是一个诊断线索.
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