肺真菌感染的CT征象分析

摘要

Objective To analyze the different CT images of pulmonary fungi in order to detect pulmonary fungal infection early.Methods The clinical data of CT images of 86 patients with pulmonary fungal infection were retrospectively analyzed.Results Of the 86 patients, 56 cases were bilateral lesions and 30 cases were unilateral lesions.The general classification included 2 cases of mass type, 8 cases of consolidation type, 40 cases of nodule and patch type, 15 cases of aspergilloma, 14 cases of mixed type, and 7 cases of bronchiectasis with mucus plug.The CT signs included halo sign, inflatable bronchial sign, burr sign, empty or vacuole sign, pleural indentation, lobulation sign, calcification, pleural thickening, pleural effusion and mediastinal or hilar lymph nodes.Conclusion The imaging findings of pulmonary fungi are diverse and less specific.Typical manifestations such as halo sign, air crescent, etc.Are easy to diagnose.When the imaging is not specific, it should be closely combined with patients'' history and clinical laboratory examination.%目的 探讨肺部真菌感染CT影像表现,以便提高早期检出率,及时有效治疗,降低不良预后.方法 对86例经实验室、病理及临床确诊的肺真菌感染患者的CT影像资料进行回顾性分析.结果 86例患者中,双肺病变56例,单肺病变30例.肿块型2例,实变型8例,结节及斑片型40例,曲菌球15例,混合型14例,支气管扩张伴粘液栓7例.其他CT征象如晕征、充气支气管征、毛刺征、空洞或空泡征、胸膜凹陷征、分叶征、钙化、胸膜肥厚、胸腔积液及纵隔或肺门淋巴结肿大.结论 肺真菌影像表现各异,典型征象少,诊断时应密切关注临床病史、实验室辅助检查.