| 陈淮,伍筱梅,李新春,朱巧洪,曾庆思.免疫功能正常者肺曲霉菌病的影像学表现[J].中国医学影像技术,2013,29(4):557~560 |
| 免疫功能正常者肺曲霉菌病的影像学表现 |
| Imaging findings of pulmonary aspergillosis in non-immunocompromised patients |
| 投稿时间：2012-08-12 修订日期：2013-02-27 |
| DOI： |
| 中文关键词: 肺曲霉菌病 免疫功能正常 体层摄影术,X线计算机 |
| 英文关键词:Pulmonary aspergillosis Non-immunocompromised Tomography, X-ray computed |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨免疫功能正常者肺曲霉菌病的影像学表现。方法 收集9例经组织病理学确诊的免疫功能正常的肺曲霉菌病患者,回顾性分析其临床资料、X线片和CT表现。结果 9例患者均有胸片资料,其中8例有CT资料,且均接受增强CT检查。胸片示单发病灶1例,多发病灶8例,主要表现为多发结节影及大片状实变影,实变影及结节周围模糊,部分结节内可见空洞影。CT表现:肺部大片实变4例,其中3例可见"支气管气相征",实变并肺部小叶间隔增厚1例;肺部多发结节4例,结节周围可见"晕征";多数结节影沿支气管血管束分布,3例结节内见空洞,部分空洞内可见细线状分隔。增强后片状实变影及结节影均有强化,平扫CT值平均为(32.94±2.93)HU,增强后CT值平均为(64.13±6.31)HU。9例患者中3例合并胸腔积液。结论 免疫功能正常者肺曲霉菌病影像学表现多种多样,但在部分患者可有一定的特殊表现。 |
| 英文摘要: |
| Objective To explore the imaging features of pulmonary aspergillosis in non-immunocompromised patients. Methods Nine non-immunocompromised patients with pulmonary aspergillosis confirmed by histopathology were collected, and their clinical data and imaging features were analyzed retrospectively. Results Nine patients underwent chest X-ray, 8 of them underwent plain and enhanced CT scan. Chest X-ray films showed 1 case with single lesion, 8 cases with multiple lesions, the borders of nodules or large consolidations were fuzzy, some nodules were found with cavities. CT performances: Large consolidation was found in 4 cases, among them 3 with air bronchogram, 1 with interlobular septal thickening. Multiple nodules were found in 4 cases, most with halo sign, many nodules distributed along bronchovascular bundles, and cavity could been seen in 3 cases, most with thin line separation. Enhancements were noticed in consolidations and nodules,the average CT value of plain scan was (32.94±2.93)HU, of enhanced scan was (64.13±6.31)HU. Three cases had pleural effusion. Conclusion The imaging findings of pulmonary aspergillosis are variety in non-immunocompromised patients, but some cases have special signs. |
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