中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2009年
1期
17-19
,共3页
刘晋新%唐小平%张烈光%江松峰%陈碧华%甘清新%黄瑞莲%史红玲%黄务枝%黄德扬%唐勇
劉晉新%唐小平%張烈光%江鬆峰%陳碧華%甘清新%黃瑞蓮%史紅玲%黃務枝%黃德颺%唐勇
류진신%당소평%장렬광%강송봉%진벽화%감청신%황서련%사홍령%황무지%황덕양%당용
获得性免疫缺陷综合征%毛霉菌病%肺%诊断显像
穫得性免疫缺陷綜閤徵%毛黴菌病%肺%診斷顯像
획득성면역결함종합정%모매균병%폐%진단현상
Acquired immunodeficiency syndrome%Mucormycosis%Lung%Diagnostic imaging
目的 探讨艾滋病(MDS)合并肺毛霉菌病的胸部影像表现.方法 回顾性分析13例艾滋病合并肺毛霉菌病的X线胸片+胸部高分辨率CT(HRCT)表现.结果 13例患者X线胸片中5例出现肺内浸润性病灶,7例呈网织纹理,4例见胸腔积液,4例出现肺门及纵隔淋巴结增大.3例见粟粒病变,3例见结节状肿块影,2例呈磨玻璃密度影(GGO),2例见肺气囊,内含结节的空洞、胸膜增厚、心包积液及局限性气胸各1例.13例患者HRCT发现7例见纵隔淋巴结增大,7例见小叶间隔增厚,6例出现肺内浸润性病灶,5例见粟粒病变(其中1例可见胸膜下小结节),4例见胸腔积液,3例见结节状肿块影,可见GGO、多发肺气囊及树芽征各2例,空洞(内含结节的空洞)、胸膜增厚、局段支气管扩张、心包积液及局限性气胸各1例.结论 AIDS合并肺毛霉菌病常见的胸部影像表现为:肺粟粒病变、纵隔淋巴结增大、网织纹理(小叶间隔增厚)、肺内多发的浸润性病灶、胸腔积液及结节状肿块影.
目的 探討艾滋病(MDS)閤併肺毛黴菌病的胸部影像錶現.方法 迴顧性分析13例艾滋病閤併肺毛黴菌病的X線胸片+胸部高分辨率CT(HRCT)錶現.結果 13例患者X線胸片中5例齣現肺內浸潤性病竈,7例呈網織紋理,4例見胸腔積液,4例齣現肺門及縱隔淋巴結增大.3例見粟粒病變,3例見結節狀腫塊影,2例呈磨玻璃密度影(GGO),2例見肺氣囊,內含結節的空洞、胸膜增厚、心包積液及跼限性氣胸各1例.13例患者HRCT髮現7例見縱隔淋巴結增大,7例見小葉間隔增厚,6例齣現肺內浸潤性病竈,5例見粟粒病變(其中1例可見胸膜下小結節),4例見胸腔積液,3例見結節狀腫塊影,可見GGO、多髮肺氣囊及樹芽徵各2例,空洞(內含結節的空洞)、胸膜增厚、跼段支氣管擴張、心包積液及跼限性氣胸各1例.結論 AIDS閤併肺毛黴菌病常見的胸部影像錶現為:肺粟粒病變、縱隔淋巴結增大、網織紋理(小葉間隔增厚)、肺內多髮的浸潤性病竈、胸腔積液及結節狀腫塊影.
목적 탐토애자병(MDS)합병폐모매균병적흉부영상표현.방법 회고성분석13례애자병합병폐모매균병적X선흉편+흉부고분변솔CT(HRCT)표현.결과 13례환자X선흉편중5례출현폐내침윤성병조,7례정망직문리,4례견흉강적액,4례출현폐문급종격림파결증대.3례견속립병변,3례견결절상종괴영,2례정마파리밀도영(GGO),2례견폐기낭,내함결절적공동、흉막증후、심포적액급국한성기흉각1례.13례환자HRCT발현7례견종격림파결증대,7례견소협간격증후,6례출현폐내침윤성병조,5례견속립병변(기중1례가견흉막하소결절),4례견흉강적액,3례견결절상종괴영,가견GGO、다발폐기낭급수아정각2례,공동(내함결절적공동)、흉막증후、국단지기관확장、심포적액급국한성기흉각1례.결론 AIDS합병폐모매균병상견적흉부영상표현위:폐속립병변、종격림파결증대、망직문리(소협간격증후)、폐내다발적침윤성병조、흉강적액급결절상종괴영.
Objective To manifest the imaging appearances of the pulmonary mucormycesis in patients with acquired immunodeficiency syndrome(AIDS).Methods The radiographic and hiish resolution computed lomography(HRCT)features of the pulmonary mucormycosis in 13 patients with AIDS were retrospectively analyzed.Results On radiography,the infiltrative lesions were found in 5 patients,7 cases had reticular pattem,4 cages had pleural effusion,4 cages had enlarged hilar and mediagtinal lymph nodes,3 cases had diffuse milliary lesions,3 Cages had masses,2 cases had ground-slags shadows,2 cages had cystic lesions,cavity,pleural thickening,pericardia]effusion and focal pneumothorax Wag presented in 1 cage respectively.On HRCT,7 cages had enlarged mediagtinal lymph nedes,7 cages had interlobular septal thickening,the infiltrative lesion were found in 6 patients,5 cages had diffuse milliary lesions,4 cages had pleural effusion,3 cases had inasses,2 cages had ground-glass shadows,2 cases had cystic lesions,cavity,pleural thickening,focal bronchiectagis,pericardial effusion and focal pneumothorax was presented in 1 case respectively.Conclusion The main imaging appearances of the pulmonary mucormycesis in patients with AIDS include diffuse milliary lesion,enlarged hilar and mediagtinal lymph node,interiobular septal thickening,infiltrative lesion,pleural effusion and mass.
