肺曲菌球的影像检查技术及影像学表现  

Imaging Technology and Imaging Findings in Pulmonary Aspergilloma

作　　者：陈绿娇[1] 夏俊[1] 陈义雄[1] 

机构地区：[1]广东医学院附属医院放射科,广东湛江524001

出　　处：《实用放射学杂志》2005年第5期487-489,共3页Journal of Practical Radiology

摘　　要：目的探讨肺曲菌球的影像检查技术及X线表现。方法15例经手术病理证实的肺曲菌病患者,采用常规X线照片、体层及CT等检查技术,通过集体读片分析其影像学特征。结果与病理对照,单纯胸片检查诊断符合率60%(9/15),胸片加体层诊断符合率80%(12/15),而胸片加CT诊断符合率达93.3%(14/15)。其中较有特征的征象“新月征”40%(6/15),“气环征”20%(3/15),曲菌球可随体位改变33.3%(5/15)。结论“新月征”、“气环征”以及球形病灶随体位改变可作为肺曲菌球的影像学特征。Objective To investigate imaging technology and imaging finding in pulmonary aspergilloma.Methods Chest radiography,X-ray tomography and CT were perfovmed in 15 cases of pulmonary aspergilloma confirmed by pathology and the imaging results were compared with pathology.Results The accuracy was 60% for chest radiography,80% for chest radiography and X-ray tomography,93.3% for chest radiography and CT.“Air crescent sign” or “air ring sign” were shown in 9 patients.The fungus ball could move with the change of patient's body position in 5 cases. Conclusion A mobile intracavitary mass with “air crescent sign” or “air ring sign” is the imaging characteristics of pulmonary aspergilloma.

关 键 词：曲菌病 肺 体层摄影术 X线计算机 

分 类 号：R563[医药卫生—呼吸系统] R814.42[医药卫生—内科学]