肺真菌病的CT诊断

摘要

Objective To study the CT findings of pulmonary mycosis. Methods CT manifestations of 9 cas-es with pulmonary mycosis confirmed by operation, pathology, mycetes cultivation and following-up of clinical therapy were retrospectively analyzed. Results On the CT images, the lesions appeared as pulmonary consolidation in 5 cas-es, fungal balls in 2 cases, mixed appearance in 2 cases. The lesions were of multilobar distribution except 2 cases of fungal balls. Conclusion CT appearances of pulmonary mycosis are varied. With the help of the characteristic fea-ture and clinical history, the diagnosis of pulmonary mycosis will be much easier.%目的：探讨肺真菌病的CT影像特点。方法回顾性分析9例经手术、病理、真菌培养及临床治疗随访证实的肺真菌病的CT表现。结果9例肺真菌病表现炎性浸润改变5例，真菌球2例，混合型2例，除2例真菌球外所有病灶均呈多叶分布。结论肺真菌病CT表现多样化，结合其特征性改变及临床病史有助于诊断。