华支睾吸虫病及其合并症的CT表现

新发传染病电子杂志 ›› 2018, Vol. 3 ›› Issue (2): 106-110.

华支睾吸虫病及其合并症的CT表现

刘红山^1,2, 方竞², 廖锦元²

1.广西桂林市人民医院放射科,广西桂林 541002;
2.广西医科大学第一附属医院放射科,南宁 530021

收稿日期:2017-10-15 出版日期:2018-05-30 发布日期:2020-06-29
通讯作者: 廖锦元,Email: 274264889@qq.com
基金资助:
国家自然科学基金（81360220）; 广西自然科学基金（2010GXNSFA013189）

CT manifestations of clonorchiasis and its complications

LIU Hong-shan^1,2, FANG Jing¹, LIAO Jin-yuan¹

1. Department of Radiology, Guilin People's Hospital, Guangxi Guilin 541002,China;
2. Department of Radiology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China

Received:2017-10-15 Online:2018-05-30 Published:2020-06-29

摘要/Abstract

摘要： 目的探讨华支睾吸虫病及其合并症的影像学特点。方法回顾分析1567例华支睾吸虫感染确诊病例,观察肝硬化、胆管扩张、胆管结石、胆道感染、合并肝胆恶性肿瘤等的CT及MRI特点。结果 144例为急性感染,1102例为慢性感染,321例CT及MRI表现为阴性。急性期表现为胆道感染;慢性期表现为胆道结石、单纯性胆管扩张、合并恶性肿瘤。结论华支睾吸虫病急性期多表现为胆管周围炎,可合并肝内胆管轻度扩张;慢性期以胆道结石、肝外胆管的弥漫性轻、中度扩张,可合并恶性肿瘤。影像学检查对合并症的检出、鉴别诊断有重要价值。

关键词: 华支睾吸虫病, 合并症, 计算机体层摄影术

Abstract: Objective To investigate the radiological manifestations of clonorchiasis and its complications. Methods A total of 1567 cases with definitive diagnosis of clonorchiasis were retrospectively analyzed. The CT and MRI manifestations of liver cirrhosis, cholangiectasis, bile duct stones, biliary tract infection, as well as hepatobiliary malignancies were observed and analyzed. Results In the total 1567 cases of clonorchiasis, there were 144 cases of acute infection and 1102 cases of chronic infection. And the other 321 cases showed negative by CT and MRI. The cases with acute infection are manifested as biliary tract infection. And the cases with chronic infection are manifested as biliary tract stones, simplex cholangiectasis, and hepatobiliary malignancies. Conclusion The radiology demonstrates acute stage of clonorchiasis commonly as pericholangitis, which may be complicated by mild dilation of intrahepatic bile duct. And the radiology demonstrates chronic stage of clonorchiasis as bile duct stones as well as slight or moderate dilation of extrahepatic peripheral bile duct, which may be complicated by malignancies. Radiology has important value in detecting and differentiating the complications of clonorchiasis.

Key words: Clonorchis, Complication, CT

刘红山, 方竞, 廖锦元. 华支睾吸虫病及其合并症的CT表现[J]. 新发传染病电子杂志, 2018, 3(2): 106-110.

LIU Hong-shan, FANG Jing, LIAO Jin-yuan. CT manifestations of clonorchiasis and its complications[J]. Electronic Journal of Emerging Infectious Diseases, 2018, 3(2): 106-110.

参考文献

[1] 中华人民共和国国家卫生和计划生育委员会.华支睾吸虫病的诊断标准(WS309-2009)[EB/OL].http://www.nhfpc.gov.cn/zwgkzt/s9499/200908/42174.shtml.
[2] 钱门宝,陈颖丹,周晓农. 从认识到实践——纪念华支睾吸虫发现140周年[J]. 中国寄生虫学与寄生虫病杂志, 2014, 32(8): 247-252.
[3] 曾雪梅,梁江明,韦利玲.广西重点人群华支睾吸虫病感染状况分析[J]. 中国卫生检验杂志, 2015,25(6):1848-1850.
[4] Choi D,Hong ST.Imaging diagnosis of clonorchiasis[J]. Korean J Parasitol, 2007,45(2):77-85.
[5] Ma RH, Qiao T, Luo ZL,et al.Gallbladder Stone Types in Patients with Cholelithiasis and Clonorchis sinensis Infection in the Endemic Area of Clonorchiasis[J]. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi, 2015 ,33(3):167-171.
[6] Zhang GW1, Lin JH, Qian JP,et al. Identification of risk and prognostic factors for patients with clonorchiasis-associated intrahepatic cholangiocarcinoma[J]. Ann Surg Oncol,2014 ,21(11):3628-3637.
[7] Huang Y, Chen W,Wang X,et al.The carcinogenic liver fluke ,Clonorchis sinensis:new assembly ,reannotation and analysis of the genome and characterization of tissue transcriptomes[J]. PLoS One, 2013, 8(1):e54732.
[8] 梁骁,黎乐群. 广西地区711例肝脏肿瘤临床病理分析[J]. 广西医科大学学报, 2008,45(3):375-377.
[9] 谭盛葵,仇小强,余红平,等.肝吸虫病诱发原发性肝细胞癌的危险性评价[J].中华肝脏病杂志, 2008,16(2):114-116.
[10] Songserm N,Promthet S,Sithithaworn P,et al.Risk factors for cholangiocarcinoma in highrisk area of Thailand:role of lifestyle diet and methyleneterahydrofolate ruductase polymorphisms[J].Cancer Epidemiol,2012,36(2):89-94.
[11] 刘国兴,吴秀萍,王子见,等.三种吸虫感染与胆管癌发病关系的研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2010,28(4):301-305.
[12] 徐世昌, 温志波. 华支睾吸虫病合并胆管癌的影像学分析[J]. 中国寄生虫学与寄生虫病杂志, 2016,34(3):1-6.