实用放射学杂志
實用放射學雜誌
실용방사학잡지
JOURNAL OF PRACTICAL RADIOLOGY
2010年
3期
341-343
,共3页
肺%真菌病%X线摄影%体层摄影,X线计算机
肺%真菌病%X線攝影%體層攝影,X線計算機
폐%진균병%X선섭영%체층섭영,X선계산궤
lung%pulmonary mycosis%radiogrpahy%tomography,X-ray computed
目的 探讨肺真菌病X线及CT影像表现特征,提高影像诊断水平.方法 回顾分析经病理证实的肺真菌病43例.全部病例均行X线平片及胸部CT检查.结果 左肺14例,右肺21例,双肺多发8例.病灶呈单/多发结节或肿块12例(27.9%);呈单/多发斑片状浸润29例(67.4%);斑片与结节影混合者2例(4.7%).总误诊15例(34.9%),X线平片误诊14例(32.6%),CT误诊5例(11.6%),有4例同时误诊.结论 X线平片及CT对有特征性表现的肺真菌病可做出正确诊断,对于表现不典型者,密切结合临床可提高诊断准确率.
目的 探討肺真菌病X線及CT影像錶現特徵,提高影像診斷水平.方法 迴顧分析經病理證實的肺真菌病43例.全部病例均行X線平片及胸部CT檢查.結果 左肺14例,右肺21例,雙肺多髮8例.病竈呈單/多髮結節或腫塊12例(27.9%);呈單/多髮斑片狀浸潤29例(67.4%);斑片與結節影混閤者2例(4.7%).總誤診15例(34.9%),X線平片誤診14例(32.6%),CT誤診5例(11.6%),有4例同時誤診.結論 X線平片及CT對有特徵性錶現的肺真菌病可做齣正確診斷,對于錶現不典型者,密切結閤臨床可提高診斷準確率.
목적 탐토폐진균병X선급CT영상표현특정,제고영상진단수평.방법 회고분석경병리증실적폐진균병43례.전부병례균행X선평편급흉부CT검사.결과 좌폐14례,우폐21례,쌍폐다발8례.병조정단/다발결절혹종괴12례(27.9%);정단/다발반편상침윤29례(67.4%);반편여결절영혼합자2례(4.7%).총오진15례(34.9%),X선평편오진14례(32.6%),CT오진5례(11.6%),유4례동시오진.결론 X선평편급CT대유특정성표현적폐진균병가주출정학진단,대우표현불전형자,밀절결합림상가제고진단준학솔.
Objective To analyse X-ray and CT findings of pulmonary mycosis,so that to improve its radiological diagnosis. Methods The X-ray and CT finding of pulmonary mycosis comfirmed pathologically in 43 cases were retrospectively analyzed. All cases underwent radiographic and CT examinations. Results The lesions involved left lungs in 14 cases,right lungs in 21 cases and bilateral lungs in 8 cases. The lesions appeared as solitary/multifocal masses or nodules (12 cases) .solitary or multiple patchy foci(29 cases) and patchy foci mixed with nodules(2 cases). Conclusion Pulmonary mycosis with typical X-ray and CT characteristics can be correctly diagnosed,for the atypical one,imaging findings in combination with clinical findings can improved the diagnosis accuracy.