肺曲霉菌病的影像学表现  

Imaging Manifestations of Pulmonary Aspergillosis

作　　者：郭志锐[1] 杨冠英[1] 

机构地区：[1]广东省佛山市第一人民医院影像科,528000

出　　处：《现代医用影像学》2013年第6期484-486,共3页Modern Medical Imageology

摘　　要：目的：探讨肺曲霉菌病（PA）的影像学表现，提高影像诊断水平。材料与方法：回顾性分析13例经病理及实验室证实的肺曲霉菌病CT表现及病理资料。其中，男8例，女5例，平均年龄40．83岁（26～78岁）。结果：13例中，影像学表现为炎性实变的4例，单发或多发结节2例，肿块样浸润2例，支气管扩张2例，曲菌球2例，肺不张1例。结论：曲菌球为其特征性改变。如果在影像上发现结节或／和肿块及其周围晕征、胸膜下楔形肺实变等征象时，首先要考虑到肺曲菌病的可能。Purpose： To study the imaging manifestations of puhnonary aspergillosis and to improve its radiological di- agnosis. Materials and Methods： CT scans of 13 cases with pulmonary aspergillosis were retrospectively analysed. Of these 13 patients, 8 were men, 5 were woman ranged in age from 26 - 78 years old （means 40. 83 years old）. Results： imaging findings included consolidation （ n = 4 ） , nodule or multinodules （ n = 2 ） , mass like infiltrate （ n = 2 ） , bronehiectasis （ n = 2 ）, pulmonary aspergillma （ n = 2） and atelectasis （ n = 1 ）. Conclusion ： Pulmonary aspergillma is the characteristic of pul- monary aspergillosis. If the nodular shadow with halo sign and subpleural wedge shaped consolidation appear in lung on ima- ging, it should be considered the possibility of pulmonary aspergillosis.

关 键 词：肺曲菌病 影像学 体层摄影 X线计算机 

分 类 号：R519[医药卫生—内科学]