非严重免疫缺陷病人肺曲霉菌病的CT表现

CT findings of pulmonary aspergillosis in patients with non-severe immunologic deficiency

  • 摘要: 目的 探讨非严重免疫缺陷病人肺曲菌病胸部CT影像学特点。方法 回顾性分析2005年8月-2010年8月本院25例经病理和临床诊断肺曲霉菌病且非严重免疫缺陷患者的影像资料,胸部CT表现和特点。结果 影像学表现多样化,其中12例为伴"空气新月征"或空洞的结节样病变,6例为局限的或多发的不规则软组织阴影,实变及磨玻璃改变6例,2例两肺呈播散性病灶,11例病灶及周围散在钙化影。结论 非免疫缺陷病人肺曲菌病CT影像以局限或多发的不规则结节影周边伴磨玻璃或斑片样渗出以及"空气新月征"或空洞多见,影像学诊断需与炎症、肿瘤、结核相鉴别,确诊依靠肺活检。

     

    Abstract: Objective To observe the chest CT features of pulmonary aspergillosis in patients with non-severe immunologic deficiency.Methods Chest CT findings and features of pulmonary aspergillosis diagnosed in our hospital from August 2005 to August 2010 in 25 patients with non-severe immunologic deficiency were retrospectively analyzed.Results Of the 25 patients with different CT findings,12 were found to have air cresent sign or cavity-like nodular lesions,6 had local or multiple soft tissue shadows with irregular shapes,2 had disseminated foci,and 11 had sporadic calcification.Conclusion CT findings of pulmonary aspergillosis in patients with non-severe immunologic deficiency include local or multiple nodular lesions with irregular shapes,ground glass opacities,patchy attenuations,air cresent sign or cavity.Pulmonary aspergillosis in patients with non-severe immunologic deficiency should be discriminated with inflammation,tumors,and tuberculosis.Its final diagnosis depends on lung biopsy.

     

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