肺曲霉菌病的影像诊断

目的探讨肺曲霉菌病的影像学表现特征，为肺曲霉菌病的临床诊断提供诊断依据。方法收集我院近10年来有完整影像、细菌学、临床资料，并经手术、病理、细菌学证实的9例肺曲霉菌病例，在此进行回顾性分析。所有病例均行胸片、CT常规平扫及增强扫描，病灶区加5mm层厚、层距CT扫描，进行影像学分析。结果病灶分布右肺5例、左肺3例、两肺1例；病灶呈肿块或结节可单发和多发，可出现“新月征”、“洞中球征”、“晕征”、“空气支气管征”、磨玻璃样密度改变及肺片状低密度阴影。结论肺曲霉菌病有一定特征性影像表现，结合实验室及多手段病理检查，可提高临床及影像肺曲霉菌病诊断正确率，得以及时治疗。

The imaging diagnosis of pulmonary aspergillosis

Objective To discuss the imaging characteristics of pulmonary aspergillosis for the clinical diagnosis of this disease. Methods 9 cases of pulmonary aspergillosis in our hospital for about 10 years were retrospectively reviewed.All the cases wereconfirmed by operation,pathology and bacteriology.The chest X-ray films,the routine and contrast-enhanced CT scanning(with 5mm slice thickness and 5mm spacing)were analyzed.Results Among all the 9 cases,5 of them located in right lung,3 of them located in left lung,...