摘要
目的探讨CT影像学表现对肺部真菌感染患者临床诊断的价值。方法选择2006年1月-2011年9月医院肺部真菌感染病例48例,所有患者均行胸部常规仰卧位CT平扫,对所有患者肺内病灶的形态及分型情况进行统计分析,并分析不同基础疾病与CT分型的关系。结果 48例患者CT影像表现主要分为弥散型、曲菌球型、实变型和结节型,其中弥散型19例,占39.6%;曲菌球型13例,占27.1%;实变型12例,占25.0%;结节型4例,占8.3%;另外,对于肺结核患者,CT影像主要为弥散型占63.6%;对于慢性支气管扩张患者,CT影像主要为曲菌球型72.7%;对于糖尿病患者,CT影像主要为实变型占66.7%和结节型占33.3%;对于肺癌患者,CT影像主要为弥散型占75.0%;对于艾滋病病毒感染患者,CT影像主要为弥散型占50.0%和实变型占50.0%;而无基础病的患者,CT影像分型较分散。结论肺部真菌感染患者CT影像具有一定的特点,对临床诊断具有一定的辅助作用,具有临床应用价值。
OBJECTIVE To probe into the clinical diagnosis value of CT manifestations for pulmonary fungal infections.METHODS From Jan.2006 to Sep.2011,48 cases with pulmonary fungal infections in our hospital were selected for our study.All the patients underwent routine supine chest CT scan.The shapes and types of pulmonary lesions were statistically analyzed,and the relationship between CT classification and underlying diseases was analyzed.RESULTS CT imaging findings in 48 patients included diffuse,aspergilloma,consolidation and nodular.Diffuse were found in 19 cases,accounting for 39.6%;aspergilloma in 13 cases,accounting for 27.1%;consolidation in 12 cases,accounting for 25.0%;nodules in 4 cases,accounting for 8.3%.In addition,for tuberculosis patients,CT images were mainly diffuse（63.6%）.For chronic bronchiectasis patients,CT images were mainly aspergilloma（72.73%）.For diabetic patients,CT images were mainly solidvariant（66.7%） and nodules（33.3%）.For lung cancer patients,CT images were mainly diffuse（75.0%）.For HIV-infected patients,CT images were mainly diffuse（50.0%） and consolidation（50.0%）.For patients without underlying diseases,CT images were dispersed.CONCLUSION CT images are of clinical diagnosis values for pulmonary fungal infections in patients and have certain characteristics.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第5期980-981,共2页
Chinese Journal of Nosocomiology
关键词
CT
肺部
真菌感染
诊断价值
CT
Pulmonary
Fungal infection
Diagnosis value
