不同致病菌肺真菌病的CT表现与病理对照  

Comparison between the CT findings and pathological results of pulmonary fungus disease caused by different pathogenic fungus

作　　者：张悦[1] 吴麟[1] 曾献军[1] 周福庆[1] 龚洪翰[1] 

机构地区：[1]南昌大学第一附属医院影像科,330006

出　　处：《实用医学杂志》2013年第23期3897-3900,共4页The Journal of Practical Medicine

基　　金：国家自然科学基金资助项目(编号:81060116;81101041);江西省科技支撑计划资助项目(编号:20111BBG70028-1;20132BAB215008)

摘　　要：目的:探讨常见不同真菌所致肺真菌病的CT表现及鉴别诊断。方法:回顾性分析本院2010年12月至2013年8月经病理或细菌学及临床证实的52例肺真菌病的临床、CT及病理资料。结果:肺部曲霉菌感染17例,隐球菌10例,白色念珠菌10例,病理未明确分类的真菌15例。CT上可见空气新月征12例(肺曲霉菌病最常见,7/17例),表现为肿块或结节影21例(肺隐球菌病最常见,8/10例)、磨玻璃密度影17例(肺念珠菌病最常见,7/10例),表现为肺实变影15例,混合性改变17例。结论:空气新月征最常见于肺曲霉菌病,肿块或结节影最常见于肺隐球菌病,磨玻璃密度影最常见于肺念珠菌病,不同肺真菌病有其常见的CT表现。Objective To explore the CT findings and differential diagnosis of patients with pulmonary fungus disease caused by different fungus. Methods The clinical, radiological and pathological data of 52 cases of pulmonary fungus disease verified by pathology or bacteriology combined with clinic from Dec 2010 to Aug 2013 were analyzed retrospectively. Results 17 cases of pulmonary aspergillosis, 10 cases of pulmonary cryptococcosis and 10 cases of pulmonary candida albicans were verified. There were also 15 cases without classification. The main CT findings included 12 cases with air meniscus sign （the most common in pulmonary aspergillosis 7/17）, 21 cases with masses or nodules （in pulmonary cryptococcosis 8/10）, 17 cases with GGO （in pulmonary candida albicans 7/10）, 15 cases with consolidation, and 17 cases with mixed findings. Conclusions In pulmonary aspergillosis, pulmonary cryptococcosis, and pulmonary candida albicans, the most common signs were air meniscus, masses or nodules, and GGO, respectively. Different pulmonary fungus diseases had different common CT findings.

关 键 词：肺疾病 真菌性 体层摄影术 X线计算机 

分 类 号：R519[医药卫生—内科学]