肺曲菌球的CT诊断

CT diagnosis of pulmonary aspergilloma

目的 探讨肺曲菌球病的CT征象及CT检查技术。方法 回顾性分析 13例经手术病理及临床化验证实的肺曲菌球的CT表现及CT扫描技术。结果 全部病例CT上均显示裂隙样空洞 (腔内结节 ) ,显示率为10 0 % ,13例CT平扫中有 11例 (84% )显示 ,11例高分辨CT全部显示 (10 0 % )。行俯卧位扫描的 6例中有 5例(83 % )显示腔内结节随体位移动。结论 肺曲菌球的CT表现具有一定的特征 ,但诊断时仍需要与结核空洞、肺脓肿、癌性空洞、结核瘤溶解、囊肿内血肿等鉴别。

Objective To study the CT findings and the CT scaning technology of pulmonary aspergilloma. Methods CT scans and CT findings of surgery and pathology proved pulmonary aspergilloma in 13 patients were analyzed. Results CT showed the nodule within a cavity in all cases(100%).Prone CT scans of 6 cases showed that the nodule wtihin a cavity were moved in 5 cases(83%). Conclusions Pulmonary aspergilloma possess of specific CT features. differential diagnosis consists of pulmonary tuberculous cavity, lung abscess,cancerous cavity, caseous necrosis of a tuberculoma and hematoma within a cyst.