Abstract:

Objective  To study the value of CT combined with immune tests for the diagnosis of
cerebral schistosomiasis. Methods   The data of 24 patients with cerebral schistosomiasis were col-
lected and analyzed retrospectively, and all the patients were examined with CT and serum IHA and
ELISA and, in addition,18 patients had the data of cerebrospinal fluid(CSF) IHA and ELISA Re-
sults  Twenty-one patients were diagnosed through CT and immune tests, one patients was diag-
nosed by postoperative pathology, and other two patients were proved by diagnostic therapy with
praziquantel. Condusion  CT combined with immune tests has an important value for the diagnosis
of cerebral schistosomiasis, and serum immune tests are more simple and more practical than CSF
immune tests.

Key words:  Cerebral schistosomiasis, CT, Cerebrospinal fluid, Immunodagnosis

摘要：

 目的探讨CT结合免疫学检查诊断脑型血吸虫病的价值。方法  回顾性分析经病理和治疗证实的24例脑型血吸虫病的资料，均经CT和间接血凝试验(IHA)和酶联免疫吸附试验(ELISA)检查。其中，18例有脑脊液IHA(CSF IHA)及脑脊液ELISA(CSF ELISA)资料。结果21例通过CT与免疫学检查获得明确诊断，1例不能完全排除脑肿瘤通过术后病理诊断为脑型血吸虫病，2例高度怀疑脑型血吸虫病通过吡喹酮诊断性治疗证实。结论CT结合IHA、ELISA及脑脊液免疫学检查诊断脑型血吸虫病具有重要诊断价值，血清免疫学检查方法更简便实用。

关键词: 脑型血吸虫病；CT;脑脊液；免疫诊断