气道侵袭性肺曲霉菌病MSCT表现  

MSCT findings of airway-invasive pulmonary aspergillosis

作　　者：李云[1] 张亮[1] 杨蕾 娄和南 王泽国[1] 鲍山 林吉征[1] LI Yun;ZHANG Liang;YANG Lei;LOU Henan;WANG ZeguoI;BAO Shah;LIN Jizheng(Department of Radiology ,the Affiliated Hospital of Qingdao University ,Qingdao 266003,China;Department of Radiology ,the Central Hospital of Qingdao,Qingdao 266042, China)

机构地区：[1]青岛大学附属医院放射科,山东青岛266003 [2]青岛市中心医院放射科,山东青岛266042

出　　处：《实用放射学杂志》2018年第4期529-532,共4页Journal of Practical Radiology

摘　　要：目的探讨气道侵袭性肺曲霉菌病（IPA）的MSCT表现。方法回顾性分析27例经病理或临床证实为气道IPA的MSCT表现。结果沿支气管血管束分布27例，以中上肺野为主19例，多发小叶中心结节、树芽征27例；伴有支气管管壁增厚及支气管周围斑片状高密度影25例；支气管扩张17例；“空洞”样改变及空洞内分隔15例。在22例随访病例中，确诊并治疗后1周内进展20例；缓慢恢复期复发5例。结论气道IPA在MSCT上表现多样，且病变短期内迅速进展，MSCT对气道IPA的演变及随访复查有着重要价值。Objective To explore the MSCT features of airway-invasive pulmonary aspergillosis.Methods MSCT features of 27 cases of airway-invasive pulmonary aspergillosis confirmed by pathology or clinical experience were analyzed retrospectively.Results The lesions in 27 cases were distributed along the blood vessel and bronchus and located mainly in the upper and middle lung field in 19 cases.Multiple centrilobular nodules and tree-in-bud sign were found in 27 cases and bronchial wall thickening and patchy opacities around the bronchi were in 25 cases.Bronchiectasis was seen in 17 cases,and cavity-like change and inter-cavity separation were in 15 cases.In 22 cases of follow-up,the iesion progressed within 1 week after diagnosised and treatmented in 20 cases and recurred in slow recovery stage in 5 cases.Conclusion MSCT findings of airway-invasive pulmonary aspergillosis are various which may rapidly progress within a short time.MSCT palys an important role in the evolution and follow-up of airway-invasive pulmonary aspergillosis.

关 键 词：侵袭性肺曲霉菌病 计算机体层成像 

分 类 号：R562.1[医药卫生—呼吸系统] R814.42[医药卫生—内科学]