肺曲菌病CT诊断的探讨  

The discussion of lung aspergillomycosis CT diagnosis

作　　者：曾礼勤 李敏健[2] 翁捷晓 

机构地区：[1]广州南沙区中医院 [2]广州医学院第二附属医院,广东广州511400

出　　处：《赣南医学院学报》2010年第6期843-844,共2页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:提高对肺曲菌病CT征象的认识,为肺曲菌病的诊断提供有意义的影像学依据。方法:收集经病理、支纤镜痰培养证实的肺曲菌病16例,对其临床资料及CT表现进行回顾性总结和分析。结果:病灶表现为结节灶12例,单发10例,多发2例;空洞性结节7例,空洞内见可移动性结节5例,单发或多发性片状实变影2例,条状致密影2例。结论:"空气半月征"、"滚珠征"是肺曲菌病的特征性CT表现,应重视对此征象的观察;早期肺曲菌病无明显特征性表现,需充分结合临床病史及实验室检查;最终确诊有赖于手术、病理或支纤镜痰培养。Objective：To enhance the CT sign understanding and provide the meaningful imageologies evidence for the lung aspergillomycosis＇s diagnosis.Methods：Collected 16 lung aspergillomycosis examples after the pathology and sputum culture with fiber glass confirmation,carried on the review summary and the analysis to its clinical material and the CT performance.Results：The infection displays for the tubercle focus were 12 examples,the single shot 10 examples and multiple 2 examples.The empty tubercle 7 examples,the removability tubercle seen in the cavity 5 examples,the single shot or the multiple laminated consolidation shade 2 examples,strip compact shade 2 examples.Conclusion：The ＇air meniscus sign＇and the ＇ball bearing sign＇were the mark CT displays of lung aspergillomycosis.More attention should be paid to the signs of observation.Early pulmonary aspergillosis had no obvious characteristic.In diagnosis clinical history and laboratory examination should be taken into account.Final diagnosis depended on surgery,pathological or sputum culture with fiber glass.

关 键 词：肺曲菌病 CT 曲菌球 

分 类 号：R814.42[医药卫生—影像医学与核医学]