非结核分枝杆菌肺病的CT表现分析.docVIP

非结核分枝杆菌肺病的CT表现分析 　　【摘要】 目的：探讨非结核分枝杆菌肺病CT表现特点及其与肺结核病的鉴别要点。方法：回顾性分析经临床确诊的18例非结核分枝杆菌肺病的CT表现特点。结果：CT上最常见为结节影，本组18例均可见；其次为斑片状影16例、支气管扩张13例、空洞及纤维索条各11例。以上病变均以多种形态混杂共存，多数为两侧多叶散在分布，双肺累及12例，2个肺叶及以上受累16例；上叶比下叶多，上叶受累17例。结论：非结核分枝杆菌肺病的CT主要表现结节影、斑片状影、支气管扩张、空洞及纤维条索，影像表现具备一定特点，但单从影像上和继发型肺结核鉴别困难，多种性质病变同时累及多个肺叶是该病的特点，当出现上述表现或临床规则抗结核治疗疗效欠佳时，应考虑到非结核分支杆菌肺病的可能。 　　【关键词】 非结核分枝杆菌肺病； CT 　　中图分类号 R816.41 文献标识码 B 文章编号 1674-6805（2014）12-0060-02 　　Analysis of CT Manifestations of NTM Pulmonary Disease/WANG Qin-qi，JIANG Yong.//Chinese and Foreign Medical Research，2014，12（12）：60-61 　　【Abstract】 Objective：To investigate the NTM pulmonary disease CT performance characteristics and in differential diagnosis of pulmonary tuberculosis.Method：To retrospective analysis of the CT features of 18 cases of NTM pulmonary disease patients.Result：Nodule was the most common CT appearance，all were found in 18 cases，secondly were patchy shadow in 16 cases of total，bronchiectasis in 13 cases，empty and fiber cord each in 11 cases.These lesions were in a variety of morphology of the hybrid coexist，the majority of many on both sides of the leaf scattered，12 cases of lung involvement，16 patients had two or more than two lobes of lung involvement，17 cases of patients with upper lobe involvement，upper lobe than the lower lobe involvement.Conclusion：Nodules，patchy shadow，bronchiectasis，empty，fibers of the cable core are the most common non mycobacterium pulmonary disease manifestations of CT，but only from the image and secondary pulmonary，tuberculosis identification is difficult，many properties of lesions and involved multiple lobe is characteristic of the disease，when the above performance or the clinical rule of poor efficacy of anti tuberculosis treatment，consideration should be given to the non tuberculosis mycobacterium tuberculosis may. 　　【Key words】 NTM pulmonary disease； CT 　　First-author’s address：Fuqing City Hospital，Fuqing 350300，China 　　结核分枝杆菌复合群和麻风分支杆菌以外的非结核分枝杆菌（non tuberculous mycobacteria，NTM）引起的