AIDS与非AIDS患者肺毛霉菌病影像表现对比分析  

Analysis and comparison of radiographic characteristics of pulmonary mucormycosis in patients with and without AIDS

作　　者：李惠明[1] 伍筱梅[1] 刘晋新[2] 邓宇[1] 

机构地区：[1]广州医学院第一附属医院放射科,广州510120 [2]广州市第八人民医院放射科,510060

出　　处：《放射学实践》2012年第9期937-940,共4页Radiologic Practice

基　　金：广州市医药卫生科技重点项目(20121A021015)

摘　　要：目的:探讨AIDS与非AIDS患者肺毛霉菌病影像表现特点。方法:回顾性分析33例肺毛霉菌病患者(AIDS组24例,非AIDS组9例)胸部X线及CT(常规CT扫描和薄层CT扫描)影像表现。结果:肺毛霉菌病的常见征象有肺纹理增粗、肺内斑片状渗出性病灶、双肺多发粟粒样结节影、磨玻璃样密度影、肺气囊、肺门和纵隔淋巴结肿大、胸腔积液等。其中非AIDS组肺内多发渗出性病灶的发生率(9例,100%)高于AIDS组(14例,58.3%),两组差异有统计学意义(P=0.032);双肺多发粟粒样结节影则更多见于AIDS组(9例,37.5%),非AIDS组未见此征象(0例),两组差异有统计学意义(P=0.039)。结论:肺毛霉菌病的影像表现多种多样;肺毛霉菌病在非AIDS组中以肺部渗出性改变最为常见,在AIDS组中则以双肺多发粟粒样结节影为特点。Objective：To analyzed and compare radiographic characteristics of pulmonary mucormycosis in patients with and without acquired immunodeficiency syndrome（AIDS）.Methods：To retrospectively review and analyse radiographic characteristics of pulmonary mucormycosis in 24 patients with AIDS and 9 patients without AIDS.Results：The common imaging appearance included increased bronchovascular shadows,airspace consolidation,pulmonary nodules,ground glass opacity,pneumatocele,enlarged hilar and mediastinal lymph nodes and pleural effusion.Airspace consolidation were significantly more common in patients without AIDS compared to patients with AIDS（P=0.032）.Pulmonary nodules were significantly less common in patients without AIDS compared to patients with AIDS（P=0.039）.Conclusion：The imaging appearance of pulmonary mucormycosis were various.The inflammatory changes in pulmonary mucormycosis in patients without AIDS were more obvious.And the radiographic characteristics of pulmonary mucormycosis in patients with AIDS were pulmonary nodules.

关 键 词：获得性免疫缺陷综合征 肺疾病 毛霉菌病 体层摄影术 X线计算机 

分 类 号：R519.8[医药卫生—内科学] R814.42[医药卫生—临床医学]