摘要
目的探讨变应性支气管肺曲霉病(ABPA)的胸部X线及CT表现。方法回顾性分析2005年12月-2013年12月收治的20例ABPA的胸部X线、CT表现。结果胸部X线检查结果显示4例为阴性,14例可见实变影,10例可见肺纹理增粗、紊乱,5例可见支气管扩张。胸部CT结果显示1例为阴性,18例可见支气管扩张,17例可见中心性支气管扩张,其中6例为中心及外周支气管均受累,仅1例表现为单纯外周支气管扩张,11例可见树芽征,6例可见黏液栓,8例可见实变影,5例可见磨玻璃影,4例可见胸膜增厚,3例可见胸腔积液,2例可见肺不张。结论对于过敏性哮喘及肺囊性纤维化患者,出现中心性支气管扩张可以提示ABPA,但不能作为特异性表现。支气管扩张伴高密度黏液栓,虽然少见,却可能是该病的特异性表现。
Objective To investigate the chest radiographic and computed tomographic manifestations of allergic bronchopulmonary aspergillosis（ABPA）. Methods We retrospectively analyzed the chest radiographic and computed tomographic manifestations of 20 ABPA patients treated between December 2005 and December 2013. Results Chest radiograph showed that there were 4 negative cases, 14 cases of solid mass, 10 cases of increased and disorder of bronchovascular shadows, and 5 cases of bronchiectasis. Chest computed tomography showed that there were one negative case, 18 cases of bronchiectasis, 17 cases of central bronchiectasis among which central and peripheral bronchi were involved in 6 cases and 1 case presented as pure peripheral bronchiectasis, 11 cases of tree-in-bud signs, 6 cases of mucous embolism, 8 cases of solid mass, 5 cases of ground-glass opacity, 4 cases of pleural thickening, 3 cases of pleural effusion, and 2 cases of atelectasis. Conclusions For asthma and cystic fibrosis patients, central bronchiectasis on chest CT indicates the diagnosis of ABPA, but it cannot be considered as a characteristic feature. Bronchiectasis combined with high attenuation mucus may be a characteristic feature of ABPA although it is rare.
出处
《华西医学》
CAS
2016年第3期527-530,共4页
West China Medical Journal
