MSCT对肺真菌病的诊断价值.pdfVIP

228 2010 1125 11 Radiol Practice, ov 2010, Vol 25, o. 11 MSCT 闫呈新, 岳云, 付建斌, 贾明胜 :探讨肺真菌病的多层螺旋CT 表现,以提高对本病的诊断 平: 回顾分析23 例肺真菌病患者的 病例资料,其中经手术病理证实9 例痰和脑脊液培养证实7例经皮穿刺活检证实2例纤支镜刷检5例全部病例均行 全肺MSCT 扫描, 14 例行病灶处HRCT 检查: 23 例中表现为肺内散在结节影4 例, 直径 1~ 3 cm, 密度均匀, 周围 见 晕轮征;肿块及空洞影6 例, 肿块直径 3 cm, 密度较高,周围可见 晕轮征,其中4 例有空洞形成, 内壁光滑; 肺部炎 症样改变8 例, 多位于两肺中下部, 病变可融合呈地图状或蜂窝样实变影,侵犯 一个肺段或肺叶, 似肺段性或大叶性肺炎 的表现,其中胸膜下楔形实变影 3例, 不规则片状实变影5 例; 曲菌球 5例, 表现为空洞内边缘光滑的球形致密影, 随体位 而变化,并见 空气半月征:肺部真菌感染的 MSCT 表现复杂,病变分布广泛, 呈多种性质多灶性及多形性改变, MSCT 能准确显示病灶的细节, 是观察肺真菌感染的重要手段 肺疾病; 真菌; 体层摄影术,X 线计算机; 诊断 R814. 42; R563. 1 A 1000-0313( 2010) 11-1228-03 The value of mult-i slice CT in the diagnosis of pulmonary mycosis YA Cheng-xin, YUE Yun, FU Jian-bin, et al. Depart- ment of Radiology,Medical Imaging Center, the Affiliated Hospital, Taishan Medical College,Shandong 271000, P.R.China Abstract Objective: To study the mult-i slice CT (MSCT) findings of pulmonary mycosis and to improve the diag- nostic standard of this disease entity.Methods:T he MSCT findings and clinical materials of 23 cases with pulmonary myco- sis which proved by surgery (9 cases) , sputum examination and cerebrospinal fluid culture for fungus (7 cases) , percutane- ous needle biopsy (2 cases) , fibrobronchoscopy brush biopsy ( 5 cases) were retrospectively analyzed.All of the patients had CT scan,and 14 cases had HRCT scan of the focal lesion additionally. Results: Of the 23 patients with MSCT, there were scattered nodules ( 4 cases) with the diameter of 1~ 3cm,homogeneous in density and peripheral halo sign. Mass and cav-i ty formation were seen in 6 cases,with the diameter 3cm, surround with halo sign; cavity formation with smooth inner wall was seen in 4 cases. Pulmonary inflammation was seen in 8 cases,most of the lesions located at the middle and lower part