摘要
目的:探讨对肺真菌病的X线和CT诊断。材料和方法:对43例肺真菌病的X线和CT表现进行回顾性分析。结果:66％病例累及2个肺叶以上,双下叶受累最常见。影像学的表现有5个类型8种表现,肺内浸润较有特异性,炎性假瘤出现较多,并可有坏死空洞及中央型侵犯。结论:肺真菌病可有5种形式的影像学表现,即支气管肺浸润型、坏死空洞型、炎性假瘤型、真菌球型和中央型。多叶侵犯、多形态浸润、游走性浸润及真菌球等表现有助于肺真菌病的诊断。
Purpose: To study the radiologic and CT diagnoses of pulmonaiy mycosis. Materials and Methods; The radiologic and CT imaging data of 43 cases with pulmonay mycosis were retrospectively studied. Results; In 66% of the cases more than two lobes were involved and both lower lobes was the most common site. There were five images, types and eight manifestations. The infiltration of the lung was more specific and more inflammatory pseudotumors were found in this type. There may be necrotic cavity and invading of the central bronchi. Conclusion: There were five imaging types in pulmonay mycosis, they are bronchopulmonary infiltraiton, necrosis - cavity, inflammatory pseudotumor, fungal ball and central type. The multilobar, multiform and fugitive infiltrations, and the fungal - ball sign can help diagnoses of pulmonary mycosis.
出处
《影像诊断与介入放射学》
1998年第2期68-71,共4页
Diagnostic Imaging & Interventional Radiology
关键词
肺真菌病
X线
CT
Pulmonary mycosis Radiography Tomography, X-ray computed
