肺曲菌病的CT影像诊断.pdfVIP

1 72 Vol21 No11 A erospaceM edicine Nov 2010 CT 李晨阳 ( , 150001) : 探讨肺曲菌病的 CT表现和诊断价值: 本组病例 6例, 分别经手术病理和治疗随访证 , 男性 3例, 女性 3例, 年龄 32~ 60岁5例有轻重不一的发热咳嗽胸痛铁锈色痰或血丝痰, 1例无任何症状和 体征采用 S IEMENS SENSATION 16层螺旋 CT, 6例均行 CT 平扫肺窗: WW 1500HU, W C - 500HU; 纵隔窗: WW 400HU, W C40HU4例加行多方位图像重建( MPR) : 病灶位于右肺 2例, 左肺 4 例2例表现为孤立 性 质性结节, 直径 10 mm ~ 37 mm, 类圆形, 边缘可见棘突及 晕影 4例为空洞性结节, 直径 15 mm ~ 87 mm, 其中2例具有 新月 征, 2例具有 滚珠 征: 肺曲菌病早期影像表现缺乏特征性, 当病变局限形成曲菌 球, 尤其具备 新月征 和 滚珠征 时, 才是 CT诊断的可靠依据 肺曲菌病; CT do:i 103 6 /jissn1005- 334201011012 : R4453 : A CT Diagnosis of PulmonaryAspergillosis LI Chen- yang (The Prov inc ialH osp ital of H e ilongj iang, H arbin 150001, Ch ina ) Abstract Objective:To evaluate the CT appearance and diagnosis of the aspergillos isM ethods: SIX patientsw ith aspergillosis confirm ed by operative pathology or therapeutic follow ing- up w ere retrospectively analyzed The patien ts w ith age from32to 60 years oldResults: The seven lesionsw ith the longest d mi ention from 10 mm ~ 37 mm w ere respec tively located at the right lung (n = 2 cases) and left lung ( n = 4 cases) The appearances of the pu lmonary aspergillosis w ere follow ed as a solitary pu lmonary nodulew ith the hole sign ( n = 2 cases) and a hollow les ionw ith the m eniscus sign or rolling ball s ign (n = 2 cases) Conclusions: There is no diagnostic specificity of the mi aging appearances in early phase of the aspergillosisThe aspergilloma is the special CT signswh ilew ith the? m en iscus s ign or rolling ball sign K ey ords Pu lm onary aspergillosis; Com puter Tom ography , 6 , : WW 1500HU, W C - 500HU; [ 1] 6 CT