CT与X线对肺部真菌感染患者的诊断价值  

The clinical value of CY and X-ray in the diagnosis of patients with pulmonary fungal infections

作　　者：徐海东[1] 张玉琴[1] 董海波[1] 朱海东[1] 王洁[1] 

机构地区：[1]宁波市医疗中心李惠利医院放射科,浙江宁波315041

出　　处：《中华医院感染学杂志》2015年第18期4209-4210,4213,共3页Chinese Journal of Nosocomiology

基　　金：浙江省卫生厅科研基金资助项目(200708479)

摘　　要：目的分析研究CT与X线对肺部真菌感染患者的诊断价值及真菌分布,为诊断与治疗肺部真菌感染提供参考依据。方法选取2013年1月-2015年1月肺部真菌感染患者80例,比较CT与X线诊断肺部真菌感染的阳性率,分析肺部真菌感染患者的感染因素及真菌类型等;使用SPSS18.0软件对数据进行统计。结果 80例肺部真菌感染患者真菌培养100.00%阳性,CT的诊断阳性率为73.75%、X线诊断的阳性率为10.00%,CT与X线诊断方法比较差异有统计学意义(P<0.01);检出真菌80株,其中白色假丝酵母菌最多,56株占70.00%,热带假丝酵母菌和光滑假丝酵母菌分别占10.00%,毛霉菌属和曲霉菌属所占的比例较少;肺部真菌感染的疾病以慢性肺源性心脏病和慢性阻塞性肺疾病(COPD)为主,分别占35.00%和30.00%;肺部真菌感染的主要诱因是长期应用广谱抗菌药物和长期应用糖皮质激素。结论肺部真菌感染的原因和类型多种多样,CT检查对肺部真菌感染诊断和早治疗具有良好的临床参考价值。OBJECTIVE To study the value of CT and X-ray in the diagnosis of patients with pulmonary fungal infections and to analyze the pathogenic distribution so as to provide reference for the diagnosis and treatment of patients infected by fungi.METHODS From Jan.2013 to Jan.2015,80 cases of patients with pulmonary fungal infections were selected in our hospital.Their infection rates were compared by using CT or X-ray for diagnosis.Then the infection factors and fungal types were analyzed by SPSS 18.0software.RESULTS The fungal culture found that all the patients were fungi-positive.CT found that 73.75% of the patients were fungi-positive,while X-ray found that 10% of the patients were fungi-positive.The difference by the two diagnostic methods were significant（P〈0.01）.Totally 80 strains of fungi were detected and Candida albicans with 56 strains accounted for 70.00%,followed by Candida tropicalis and Candida glabrata with the rate of 10.00%.Mucorand Aspergillus held for a small proportion.CPHD and COPD were the major diseases of pulmonary fungal diseases,accounting for 35.00%and 30.00% respectively.Long time application of broad-spectrum antibiotics and glucocorticoid were the major cause for pulmonary fungal infections.CONCLUSIONThe causes and types of pulmonary fungal infection are various.CT examination pathogen diagnosis of prevention tips and early treatment has the good clinical reference value of the disease in patients with pulmonary fungal infections.

关 键 词：肺部真菌感染 CT X线 诊断 病原菌 

分 类 号：R563.1[医药卫生—呼吸系统]