双源CT对孤立结节型隐球菌病的诊断与鉴别  

Values of dual source CT on the diagnosis and identification of solitary nodule cryptococcosis

作　　者：贾玉柱[1] 茅国群[1] 胡叶明[1] 陈松宽[1] 程有根[1] 杨光钊[1] JIA Yu-zhu;MAO Guo-qun;HU YE-ming;CHEN Song-kuan;CHENG You-gen;YANG Guang-zhao(Zhejiang Province Tongde Hospital,Hangzhou, Zhejiang 310012, China)

机构地区：[1]浙江省立同德医院放射科,浙江杭州310012

出　　处：《中华医院感染学杂志》2018年第12期1811-1813,1818,共4页Chinese Journal of Nosocomiology

基　　金：浙江省自然科学基金资助项目(LGF18H180016)

摘　　要：目的探讨双源CT对肺内孤立结节型肺隐球菌病的诊断价值。方法回顾性分析2013年1月-2017年12月于医院经病理证实的8例以孤立结节型表现的隐球菌病双源CT下的影像表现的患者为研究对象。分析结节型隐球菌病CT的影像特征及与其他常见肺部孤立性结节的鉴别方法。结果 8例肺内孤立结节型隐球菌病患者的病灶,6例在两肺下叶,右肺下叶4例,左肺下叶2例,2例位于两肺上叶,增强检查5例中等强化,长毛刺征2例,钙化4例,空洞3例,胸膜凹陷征3例。孤立结节型隐球菌CT表现和其他肺部常见结节具有不同的影像特征和临床表现。结论孤立结节型表现的隐球菌病双源CT有一定的影像学特征,重视影像学表现有利于其检出。OBJECTIVE To investigate the values of dual source CT on the diagnosis of solitary nodule cryptococcosis.METHODS A total of 8 patients with pathological findings with solitary nodular manifestations of cryptococcosis under dual source CT in the hospital from Jan.2013 to Dec.2017 were retrospectively analyzed.The CT imaging features of nodular cryptococcal disease and other idetification methods of other common pulmonary solitary nodules were analyzed.RESULTS Among 8 cases of solitary nodular cryptococcosis,the focus of infection of six cases were on the lower lung lobes,including four cases on the lower right lung lobe and two cases on the lower left lung lobe,and two cases were on the upper lung lobes.CT enhanced examination found 5 cases of moderation enhancement.There were 2 cases of long spiculation,4 cases of calcification,3 cases of pulmonary cavity,and 3 cases of pleural indentation.The CT images of solitary nodular cryptococcus had different imaging characteristics and clinical manifestations when compared to other common pulmonary nodules.CONCLUSION The images of dual source CT of solitary nodule cryptococcosis have certain imaging features,and paying attention to the imaging performance is beneficial to its detection.

关 键 词：肺隐球菌病 孤立肺结节 体层摄影术 X线计算机 

分 类 号：R379.5[医药卫生—病原生物学]