摘要
目的探讨重症肝病患者肺部真菌感染的多层螺旋CT(MSCT)影像学表现及诊断价值,以提高对重症肝病患者肺部真菌感染CT表现的认识。方法搜集50例重症肝病并发肺部真菌感染患者的临床及CT影像学资料,对肺部真菌感染的类型、CT表现进行回顾性分析,并对念珠菌和曲霉菌感染组进行统计比较。结果 50例重症肝病患者中肺部真菌合并其他病原微生物感染者占16%(8例);CT表现主要为实变影34例,单双侧分布均有;磨玻璃影24例,常为双肺弥漫性分布;结节41例,双侧分布多见;结节的数目、分布形式和实变影在曲霉菌和念珠菌组间发病率的差异有统计学意义(P<0.05)。结论重症肝病继发肺部真菌感染的影像学表现复杂多样,与其他免疫低下类型相比,其不具特征性。CT对其诊断有一定价值。
Objective To investigate muhislice spiral CT （MSCT） appearances of pulmonary fungal infection in severe hepatitis patients and its diagnostic value. Methods The clinical and CT data of severe hepatitis patients with pulmonary fungal infection were reviewed. The types, and CT appearances of pulmonary infections were analyzed retrospectively. Resuits Consolidation wAS identified in 34 （68%） patients, including unilateral and bilateral side. Diffuse ground glass opacity was identified in 24 （48%） patients. Bilateral nodules or mass like opacity were present in 41 （82%） patients. There were statistic differences in nodules＇ s number and consolidation between aspergiUosis and candidiasis （ P 〉 0.05 ）. Conclusion CT is valuable to the diagnosis of pulmonary fungal infection in severe hepatitis patients.
出处
《临床放射学杂志》
CSCD
北大核心
2012年第9期1265-1269,共5页
Journal of Clinical Radiology
基金
国家自然科学基金项目(编号:30970800)
