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目的探讨肺真菌病CT影像表现特征,提高影像诊断水平。方法回顾分析肺真菌病24例,手术病理证实9例、痰培养7例、经皮穿刺活检证实5例、纤支镜刷检及活检2例、脑脊液培养证实1例。全部病例均行全肺CT及病灶处高分辨率CT(HRCT)检查。结果左肺5例,右肺11例,双肺多发8例。病灶常多发,且以两肺下叶受侵最常见。病灶呈单/多发结节或肿块10例(41.6%);呈单/多发斑片影者共6例(25.0%);斑片与结节影混合者共8例(33.3%)。结论CT对有特征性表现的肺真菌病可做出诊断。
Objective To explore the CT imaging features of pulmonary fungal diseases and improve the diagnostic level of the images. Methods Retrospective analysis of 24 cases of pulmonary fungal disease, surgical pathology confirmed in 9 cases, sputum culture in 7 cases, 5 cases of percutaneous biopsy, bronchoscopy and biopsy in 2 cases, cerebrospinal fluid culture confirmed in 1 case. All cases underwent whole-lung CT and high-resolution CT (HRCT) examination. Results Left lung in 5 cases, right lung in 11 cases, multiple lung in 8 cases. Often lesions, and the most common lung invasion of the lower lobe. The lesions were single / multiple nodules or masses in 10 cases (41.6%); single / multiple patchy shadow were 6 cases (25.0%); patch and nodules were mixed in 8 cases (33.3%). Conclusion CT can be diagnosed with pulmonary fungal disease characterized by characteristic.