微灶型脑转移瘤与脑囊虫的鉴别诊断
study of the differential diagnosis between nodular metastatic tumor and bladder worm of brain
目的 分析微灶型脑转移瘤（nodular metastatic tumor of brain, NMTB）和脑囊虫（bladder worm of brain, BWB）的临床和影像特点，提高两种疾病的诊断与鉴别诊断正确率。材料与方法 回顾性分析经临床及病理确诊为NMTB（n=31）和BWB(n=25)的病例，从临床症状、发病年龄及影像征象（包括病灶分布、数目、平扫及增强特点、灶周水肿、出血、钙化及头节等）比较两者的差异。结果 NMTB与BWB在临床症状、发病年龄、病灶分布、CT/MR影像表现、强化模式及灶周水肿方面有显著差异（P=0.000）。结论 临床结合影像能有效诊断及鉴别诊断NMTB与BWB。
Objective by analyzing the clinical and imaging features of NMTB and BWB, to distinguish the differences of them. Methods the clinical symptom and CT/MR features with 31 NMTB and 25 BWB by final diagnosis were analyzed retrospectively, the compared substances contained clinical symptoms, ages of cases, location, numbers, size, common CT/MR and amplify characteristics of focuses, additionally the edemas around focuses. Results significant differences of these clinical and imaging features between NMTB and BWB was testified (P=0.000). Conclusion by paying attention to the differences of these clinical and imaging features, we can discriminate NMTB from BWB clearly.
何宁、杨精宝、张玉东
临床医学神经病学、精神病学肿瘤学
电子计算机断层扫描技术（CT）磁共振成像脑转移瘤脑囊虫
computerized tomography(CT)MR imagingMetastatic tumor of brainbladder worm of brain
何宁,杨精宝,张玉东.微灶型脑转移瘤与脑囊虫的鉴别诊断[EB/OL].(2008-10-22)[2025-08-23].http://www.paper.edu.cn/releasepaper/content/200810-530.点此复制
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