CT诊断在肺部真菌感染中的应用

CT Diagnosis of Pulmonary Fungal Infection in Clinical Use

目的探讨CT对肺部真菌感染的临床诊断效果。方法回顾性分析我院2007年6月—2011年2月的肺部真菌感染病例32例,先进行X线检查,再进行CT薄层扫描,观察CT扫描的影像学特点,分析比较X线和CT检查的检测结果。结果 32例肺部真菌感染患者中,X线检出3例,检出率为9.40%;CT检出22例,检出率为68.8%,差异有统计学意义(P<0.05)。CT扫描结果显示毛玻璃样阴影5例,肺炎性实变8例,肿块和结节性病灶11例,淋巴结肿大3例,曲霉球菌5例。结论肺部真菌感染的CT表现多样,CT诊断检出率较高,但对一些不典型患者需密切结合临床及影像学的动态观察来加以判断。

Objective To investigate t the clinical effect of diagnosis CT on pulmonary fungal infection. Methods A retrospective analysis of 32 cases of surgical eases with pulmonary fungal infection in our hospital from June 2007 to February 2011, first X -ray examination, CT TLC scanning to observe the CT scan imaging features, analyzed and compared the results of X - ray and CT detection results. Results 32 cases of pulmonary fungal infection in patients with X - ray detected 3 cases, detection rate of 9.40% ; CT detected 22 cases with a detection rate of 68.8%, P 〈 O. 05, statistically significant different. CT scan showed ground glass shadows 5 cases, pneumonia is consolidation 8 cases, mass, and nodular lesions 11 cases, lymph nodes enlargement 3 cases, aspergillus cocci infection 5 cases. Conclusion The pulmonary fungal infection in the performance of diversity is very high detection rate of CT diagnosis of and judged, but not typical patients should be closely combined with the dynamic observation of the clinical and imaging.