肺隐球菌病的CT表现  

CT appearance of pulmonary cryptococcosis

作　　者：邵江[1] 史景云[1] 尤正千[1] 李天女[1] 

机构地区：[1]上海市肺科医院放射科,200433

出　　处：《中华放射学杂志》2004年第8期831-833,共3页Chinese Journal of Radiology

摘　　要：目的 分析肺隐球菌病的CT表现,提高对该病的认识。方法 回顾分析1980年1月至2003年2月收治经病理或细菌学证实的21例肺隐球菌病的CT表现,其中有基础疾患史者9例。结果 CT表现:(1)孤立病变11例,多发单叶病变5例,双侧病变5例。(2)结节团块型16例,共32个病灶,直径最小1 cm,最大10 cm。空洞型1例;大叶实变型2例;弥漫混合病变2例。(3)21例中伴少量胸水1例,肺门或纵隔淋巴结肿大4例。结论 肺隐球菌病的CT表现各异,形态多样,影像诊断困难,及时行病原菌、病理学检查是提高早期诊断率的关键。Objective To analyze the CT appearance of pulmonary cryptococcosis (PC) in order to improve the identification of this disease. Methods Twenty-one cases with PC confirmed by pathology or bacteriology in our hospital during 1980. 1 to 2003.2 were retrospectively analyzed. Nine cases had underlying diseases. Results CT appearances were various, including solitary lesion in 11 cases, multiple lesions of single lobe in 5 cases,and bilateral lesions in 5 cases. Nodules or masses measuring 1-10 cm in diameter were found in 16 cases (32 lesions). Cavitation was found in 1 case. Lobar consolidations were found in 2 cases. Diffuse mixed pattern were found in two cases. Pleural effusion was evident in 1 patient. Lymphadenopathy was showed in 4 patients. Conclusion The CT appearance of PC has various modes and forms. The examination of pathogen and pathology at the beginning is the key point in improving the diagnostic accuracy.

关 键 词：肺隐球菌病 CT 诊断 病原菌 病理学检查 

分 类 号：R816.4[医药卫生—放射医学]