肺部真菌感染62例CT影像分析

    Imaging expressions and diagnostic value of CT in pulmonary mycotic infection: An analysis of 62 cases

    • 摘要: 目的: 探讨肺部真菌感染CT影像学表现及诊断价值。方法: 回顾性分析62例肺部真菌感染的影像学表现,28例经手术病理证实,34例经3次以上痰菌阳性而确诊。结果: 基础疾病包括支气管扩张7例,肺结核11例,肺癌13例,免疫性疾病7例,糖尿病4例,肺囊肿5例,慢性支气管炎肺气肿9例,原因不明6例。CT影像学表现将肺部真菌感染分为4型:曲菌球型19例,实变型13例,结节型5例,弥漫型25例。结论: 结合临床基础病变,影像学能够对肺部真菌感染作出定性诊断。

       

      Abstract: Objective: To explore imaging expressions and diagnostic value of CT in pulmonary mycotic infection.Methods: Imaging expressions of 62 patients with mycotic infection were analyzed retrospectively and 28 were proved surgically and pathologically,and 34 were confirmed by sputum positive more than 3 times.Results: The basic diseases were bronchiectasis(n=7),pulmonary tuberculosis(n=11),lung cancer(n=13),immune disease(n=7),diabetes(n=4),pulmonary cyst(n=5),chronic bronchitis and pulmonary emphysema(n=9),pathology uncertain(n=6).On imaging expression,mycotic infection was classified into four types:aspergillus nodule(n=19),consolidation(n=13),nodule(n=5)and diffuse type(n=25).Conclusions: Combined with clinical basic disease,the confirmed diagnosis of mycotic infection can be made by imaging study.

       

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