| 摘要: |
| ［摘要］ 目的 分析肺曲菌病的多层螺旋CT表现，提高对该病的诊断水平。方法 对12例经病理和治疗证实的肺曲菌病病人的临床和多层螺旋CT资料进行回顾性分析。结果 12例中8例为曲菌球，4例为侵袭性肺曲菌病。双肺多发2例，右肺7例，左肺3例。8例曲菌球CT表现为空洞性结节，6例呈新月征，空洞壁厚薄不均。4例侵袭性肺曲菌病中，表现为不规则斑片、斑块浸润影2例，表现为结节影和楔形实变影2例，周边有晕圈征。结论 认识肺曲菌病影像的特征性表现，有利于其早期正确诊断和治疗。 |
| 关键词: 肺 曲菌病 多层螺旋CT |
| DOI：10.3969/j.issn.1674-3806.2010.12.28 |
| 分类号:R 814.42 |
| 基金项目: |
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| Manifestations of MSCT of pulmonary aspergillosis:analysis of 12 cases |
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LIANG Yu-an
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Department of Radiology,Daxin County People′s Hospital, Guangxi 532300, China
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| Abstract: |
| ［Abstract］ Objective To analyze the manifestations of Multi- slice computed tomography( MSCT ) of pulmonary aspergillosis in order to improve the level of diagnosis of pulmonary aspergillosis.Methods The clinical data and the data of MSCT of 12 cases of pulmonary aspergillosis confirmed by pathology and treatment were retrospectively analyzed.Results Among 12 cases aspergilloma was found in 8 cases,invasive pulmonary aspergillosis in 4 cases. The lesions were located at the right lung in 7 cases,at left in 3 cases,at both lung in 2 cases.The images of MSCT of aspergillomas showed a hollow nodule in 8 cases, of which thin wall cavity accompanying a nodule with the“meniscus sign” was seen in 6 cases.The images of MSCT of invasive pulmonary aspergillosis showed the anomalous spotted patchy opacification, the mottling infiltration shadow and the ground glass shadow in 2 cases,the pulmonary nodular and subpleural wedge-shaped consolidation with the “halo sign” in 2 cases. Conclusion Understanding the characteristic manifestations of pulmonary aspergillosis is valuable to the earlier diagnosis and treatment of pulmonary aspergillosis. |
| Key words: Lung Aspergillosis Multi- slice computed tomography(MSCT) |
