变态反应性支气管肺曲霉菌病(ABPA)的临床与影像学特点研究  

The Clinical and Imaging Characteristics of Allergic Bronchopulmonary Aspergillosis(ABPA)

作　　者：张金松[1] 郁知慧 蔡红[1] ZHANG Jin-song;YU Zhi-hui;CAI Hong(Department of Respiratory Medicine,Qidong People's Hospital Qidong Hospital Affiliated to Nantong University,Nantong,Jiangsu Province,226200 China)

机构地区：[1]启东市人民医院(南通大学附属启东医院)呼吸内科,江苏南通226200

出　　处：《中外医疗》2020年第25期7-9,共3页China & Foreign Medical Treatment

摘　　要：目的探究变态反应性支气管肺曲霉菌病(ABPA)的临床与影像学特点研究。方法方便选取2010年1月—2019年6月入该院进行ABPA诊断和治疗的13例患者,分析和总结患者的临床症状和发病率,并对影像学诊断结果进行分析。结果患者易发生喘息、咳嗽咳痰、伴有哮鸣音和湿啰音等症状,发生率依次为:69.23%、84.62%、46.15%、46.15%;手套征(占比46.15%)或双轨征(占比53.85%),斑片状影(占比69.23%)出现率明显高于条索影和渗出影(分别是23.08%和7.69%);病原常呈现游走性,占比76.92%;疾病常引起中心性支气管扩张,占比76.92%;肺不张、空洞发生率较低,占比均为7.69%。结论变态反应性支气管肺曲霉菌病的影像学表现具有相对特征性,可根据患者的临床症状作出明确诊断。Objective To explore the clinical and imaging characteristics of allergic bronchopulmonary aspergillosis(ABPA).Methods Convenient selection of 13 patients who were admitted to our hospital for ABPA diagnosis and treatment from January 2010 to June 2019, analyze and summarize the clinical symptoms and morbidity of the patients, and analyze the imaging diagnosis results. Results Patients were prone to wheezing, coughing and sputum, accompanied by wheezing and moist rales;the incidences were 69.23%, 84.62%, 46.15%, 46.15%;glove sign(46.15%) or dual-track sign(53.85%),patchy shadows(69.23%) occur significantly higher than streak shadows and exudative shadows(23.08% and 7.69%,respectively);pathogens were often migratory, accounting for 76.92%;the disease often causes central bronchiectasis,accounting for 76.92%;the incidence of atelectasis and cavitation was low, accounting for both 7.69%. Conclusion The imaging manifestations of allergic bronchopulmonary aspergillosis are relatively characteristic, and a clear diagnosis can be made based on the patient’s clinical symptoms.

关 键 词：ABPA 哮喘 影像学 CT 

分 类 号：R4[医药卫生—临床医学]