在周肝和肝结核病中的悖论性反应的计算机断层成像特征
Le Zhang1, Xuwen Fu2, Jialu Wei2
1Department of Intensive Care Unit, Kunming Third People's Hospital, Yunnan Clinical Medical Center for Infectious Diseases, Kunming, China.
肝结核病 (TB) 的悖论性反应很少见,但在治疗期间可以表现为扩大或新的病变. 计算机断层扫描 (CT) 成像对于诊断和监测这些不常见的肝结核病并发症非常有价值.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 肝病学 肝病学是一种肝病学.
背景情况:
- 肝结核和近肝结核 (TB) 是一种罕见的肺外结核形式.
- 矛盾反应,虽然不常见,可以发生在肝结核病在抗结核治疗期间.
- 本研究侧重于这些反应的CT成像特征.
研究的目的:
- 为了追溯分析CT成像特征的矛盾反应在肝脏和周肝结核病.
- 提高对这些罕见并发症的表现和进展的理解.
- 为了评估CT增强扫描的诊断价值.
主要方法:
- 对被诊断患有近肝结核病和肝结核病的患者的回顾性审查.
- 对CT成像分析初步发现,矛盾反应表现和后续情况.
- 包括具有悖论反应的随访CT患者.
主要成果:
- 在37名患者中,有14名患者 (37.8%) 呈现出矛盾反应.
- 反应包括囊类型 (加厚/结节) 和混合类型 (伴有细胞损伤).
- CT显示环增强,病变扩大,以及随着治疗后的改善.
结论:
- 肝结核病的悖论反应可以在CT上呈现环增强.
- 这些病变可能会随着持续的抗结核病治疗而改善.
- 增强CT扫描对于诊断和监测肝结核病悖论反应至关重要.
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