摘要
目的探讨变应性支气管肺曲霉菌病(ABPA)的HRCT影像学特点,以提高对该病的认识及诊断准确率。方法回顾性分析11例经临床确诊的ABPA患者的HRCT影像学表现。结果 11例患者的HRCT表现主要为中心性支气管扩张11例,支气管粘液栓形成9例,斑片状浸润阴影7例,树芽征为特征的小叶中心结节形成6例,3例伴有胸膜局限性增厚和纵膈淋巴结增大。结论 ABPA的HRCT表现具有特征性,即以中心性支气管扩张为主并多伴有支气管腔内粘液栓形成,可据此影像学特点结合临床及实验室检查进行诊断。
Objective To explore the HRCT（High-Resolution Computerized Tomography） features of allergic bronchopulmonary aspergillosis（ABPA） so as to have a better understanding of ABPA and improve its accurate diagnostic rate.Methods Retrospective analysis of the HRCT features of 11 clinically-confirmed ABPA patients was made.Results HRCT revealed central bronchiectasis in 11 cases,bronchial mucus plugs in 9 cases,patchy infiltration shadows in 7 cases,centri-lobular nodules with a tree-in-bud pattern in 6 cases,pleural thickening and mediastinal lymph node enlargement in 3 cases.Conclusion ABPA presents the typical HRCT features of central bronchiectasis accompanied with bronchial mucus plugs,based on which it can be diagnosed in combination with clinical and laboratory examinations.
出处
《中国医疗设备》
2015年第3期35-37,34,共4页
China Medical Devices
关键词
变应性
支气管
肺曲霉菌病
高分辨率CT
allergy
bronchus
pulmonary aspergillosis
high-resolution computerized tomography
