真菌性肺炎的螺旋CT影像学特征分析  

Analysis of spiral CT imaging features of fungal pneumonia

作　　者：刘开华 LIU Kai-hua(Department of Radiology,Xiantao First People's Hospital Affiliated to Yangtze University,Xiantao 433000,China)

机构地区：[1]长江大学附属仙桃市第一人民医院放射科,433000

出　　处：《中国现代药物应用》2024年第4期62-64,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨真菌性肺炎的螺旋CT影像学特征,旨在提高临床对其的认识,避免误诊。方法48例真菌性肺炎患者,以细菌学+免疫学检测为金标准,分析真菌性肺炎的螺旋CT影像学表现,统计各种CT影像征象。结果纯多发斑片状病灶患者12例,占比25.0%;纯多发结节状病灶患者10例,占比20.8%;斑片状病灶+结节状病灶患者14例,占比29.2%;结节状病灶+空洞患者6例,占比12.5%;单发结节灶患者2例,占比4.2%;单发斑片状病灶4例,占比8.3%。真菌性肺炎的螺旋CT影像学表现非常复杂,单从肺部病灶数目及形态方面就具有显著多样性,其中以多发斑片状、多发结节状为主。其中斑片状病灶+结节状病灶患者最多,其次是纯多发斑片状病灶患者,总体而言多发病灶患者占了绝大多数,高达87.5%(42/48);肺部单发病灶患者只有6例,仅占12.5%。结论真菌性肺炎的螺旋CT影像学表现多样,以多发斑片状影、多发结节状影为主要特点,结合临床资料较容易作出正确诊断。Objective To explore the spiral CT imaging features of fungal pneumonia,so as to improve clinical understanding and avoid misdiagnosis.Methods 48 cases of fungal pneumonia were reviewed.Bacteriology+immunology test were taken as the gold standard to analyze the spiral CT imaging manifestations of fungal pneumonia and various CT signs were counted.Results There were 12 cases of pure multiple patchy lesions,accounting for 25.0%;10 cases of pure multiple nodular lesions,accounting for 20.8%;14 cases of patchy lesions+nodular lesions,accounting for 29.2%;6 cases of nodular lesions+cavity,accounting for 12.5%;2 cases of single nodular lesions,accounting for 4.2%;4 cases of single patchy lesions,accounting for 8.3%.The spiral CT imaging findings of fungal pneumonia were very complex,and there was significant diversity in the number and morphology of lung lesions,mainly in the form of multiple plaques and nodules.Among them,patchy lesions and nodular lesions were the most common cases,followed by pure multiple patchy lesions.In general,multiple lesions accounted for the vast majority of cases,up to 87.5%(42/48).There were only 6 cases of single lung lesions,only accounting for 12.5%.Conclusion The spiral CT imaging of fungal pneumonia is characterized by multiple patchy shadows and multiple nodular shadows.Combined with clinical data,it is easier to make a correct diagnosis.

关 键 词：真菌性肺炎 螺旋CT 影像学特征 

分 类 号：R519[医药卫生—内科学] R816.4[医药卫生—临床医学]