Ultrasound imaging in cystic echinococcosis. Proposal of a new sonographic classification
Ultrasound imaging in cystic echinococcosis. Proposal of a new sonographic classification
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DOI：
10.1016/s0001-706x(97)00057-0
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发表时间：
1997-09-15
期刊：
影响因子：
2.7
通讯作者：
Lapini, L
中科院分区：
文献类型：
--
作者：
Caremani, M;Benci, A;Lapini, L
超声检查允许囊型包虫病（CE）的自然史的研究和评价阶段的寄生虫病理。腹部CE的演变进行了研究，在54例患者患有97个腹部囊肿治疗阿苯达唑，在20例患者患有20个肝囊肿治疗超声引导下经皮乙醇注射和39例患者患有42个腹部囊肿，但不治疗。提出了一种新的超声分型。I型：简单CE;（a）整体无回声;（B）回声较细。II型：多个CE;（a）多个邻接;（B）多分隔，有玫瑰花结、蜂窝和轮状图案。Ⅲ型：囊内膜脱离型，（a）双层像型，（B）睡莲征型。IV型：混合型CE;具有流体和固体外观。V型：不均匀CE;（a）羊毛球样影;（B）低回声影。VI型：强回声型：（a）暴风雪型;（B）不均匀型。VII型：钙化CE;（a）仅存在层的晚期钙化;（B）存在整个囊肿的钙化。这种分类似乎更适合CE的自然史，并允许更好的鉴别诊断和更合适的治疗。(C)1997年Elsevier Science B.V.
The ultrasonography permits the study of the natural history of cystic echinococcosis (CE) and evaluation of stages of the parasitic pathology. The evolution of abdominal CE was studied in 54 patients suffering from 97 abdominal cysts treated with albendazole, in 20 patients suffering from 20 hepatic cysts treated with echoguided percutaneous ethanol injection and in 39 patients suffering from 42 abdominal cysts, but left untreated. A new sonographic classification is suggested. Type I: Simple CE; (a) overall echofree; (b) with fine echos. Type II: Multiple CE; (a) multiple contiguos; (b) multiseptated with rosette, honeycomb and wheel-like pattern. Type III: With detachment of endocyst CE; (a) with double layer image; (b) with water-lily sign. Type IV: Mixed type CE; with fluid and solid aspect. Type V: Heterogeneous CE; (a) with ball of wool pattern; (b) with hypoechogenic image. Type VI: Hyperechoic CE: (a) with snow-storm pattern; (b) with dyshomogeneous aspect. Type VII: Calcified CE; (a) with advanced calcification of the layer only; (b) with calcification of overall cyst. This classification appears more appropriate to the natural history of CE and permits a better differential diagnosis and more suitable treatment. (C) 1997 Elsevier Science B.V.