艾滋病合并肺毛霉菌病的胸部影像表现  

The imaging appearances of the pulmonary mucormycosis in patients with acquired immunodeficiency syndrome

作　　者：刘晋新[1] 唐小平[1] 张烈光[1] 江松峰[1] 陈碧华[1] 甘清新[1] 黄瑞莲[1] 史红玲[1] 黄务枝[1] 黄德扬[1] 唐勇[1] 

机构地区：[1]广州市第八人民医院放射科,510060

出　　处：《中华放射学杂志》2009年第1期17-19,共3页Chinese Journal of Radiology

基　　金：基金项目：广州市重大科技工程项目（200621-E0091）;广州市科技攻关计划项目（2006Z3-E0431）

摘　　要：目的探讨艾滋病（AIDS）合并肺毛霉菌病的胸部影像表现。方法回顾性分析13例艾滋病合并肺毛霉菌病的X线胸片＋胸部高分辨率CT（HRCT）表现。结果13例患者X线胸片中5例出现肺内浸润性病灶，7例呈网织纹理，4例见胸腔积液，4例出现肺门及纵隔淋巴结增大，3例见粟粒病变，3例见结节状肿块影，2例呈磨玻璃密度影（GGO），2例见肺气囊，内含结节的空洞、胸膜增厚、心包积液及局限性气胸各1例。13例患者HRCT发现7例见纵隔淋巴结增大，7例见小叶间隔增厚，6例出现肺内浸润性病灶，5例见粟粒病变（其中1例可见胸膜下小结节），4例见胸腔积液，3例见结节状肿块影，可见GGO、多发肺气囊及树芽征各2例，空洞（内含结节的空洞）、胸膜增厚、局段支气管扩张、心包积液及局限性气胸各1例。结论AIDS合并肺毛霉菌病常见的胸部影像表现为：肺粟粒病变、纵隔淋巴结增大、网织纹理（小叶间隔增厚）、肺内多发的浸润性病灶、胸腔积液及结节状肿块影。Objective To manifest the imaging appearances of the pulmonary mucormycosis in patients with acquired immunodeficiency syndrome （AIDS）. Methods The radiographic and high resolution computed tomography （HRCT） features of the pulmonary mucormycosis in 13 patients with AIDS were retrospectively analyzed. Results On radiography, the infiltrative lesions were found in 5 patients, 7 cases had reticular pattern, 4 cases had pleural effusion, 4 cases had enlarged hilar and mediastinal lymph nodes, 3 cases had diffuse milliary lesions, 3 cases had masses, 2 cases had ground-glass shadows, 2 cases had cystic lesions, cavity, pleural thickening, pericardial effusion and focal pneumothorax was presented in 1 case respectively. On HRCT, 7 cases had enlarged mediastinal lymph nodes, 7 cases had interlobular septal thickening, the infiltrative lesion were found in 6 patients, 5 cases had diffuse milliary lesions, 4 cases had pleural effusion, 3 cases had masses, 2 cases had ground-glass shadows, 2 cases had cystic lesions, cavity, pleural thickening, focal bronchiectasis, pericardial effusion and focal pneumothorax was presented in 1 case respectively. Conclusion The main imaging appearances of the pulmonary mucormycosis in patients with AIDS include diffuse milliary lesion, enlarged hilar and mediastinal lymph node, interlobular septal thickening, infiltrative lesion, pleural effusion and mass.

关 键 词：获得性免疫缺陷综合征 毛霉菌病 肺 诊断显像 

分 类 号：R686[医药卫生—骨科学]