放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2014年
11期
1286-1288
,共3页
莫显斌%兰茜琳%杨静%陈伟%杨春%姚倩东
莫顯斌%蘭茜琳%楊靜%陳偉%楊春%姚倩東
막현빈%란천림%양정%진위%양춘%요천동
肺疾病,真菌性%真菌病%血液病%体层摄影术,X线计算机
肺疾病,真菌性%真菌病%血液病%體層攝影術,X線計算機
폐질병,진균성%진균병%혈액병%체층섭영술,X선계산궤
Lung diseases,fungal%Mycoses%Hematologic diseases%Tomography,X-ray computed
目的:探讨血液病患者继发肺侵袭性真菌病(IFD)的 HRCT征象,评价其在IFD临床诊断中的价值。方法:回顾性分析41例血液病患者继发性肺IFD的 HRCT资料,分析病灶部位、形态、分布、密度及边缘等特征。结果:所有病例均为多发病灶,分为毛玻璃型和实变型(n=23),结节肿块型(n=18),霉菌球型(n=7),粟粒型(n=3)。CT 征象:病灶可表现出为晕轮征(n=15),磨玻璃征(n=15),新月征或气环征(n=10),楔形征(n=6),树芽征(n=3),反晕轮征(n=3),指套征(n=3)。结论:血液病患者继发 IFD 肺内病灶呈多形态改变。CT 上同时出现两种以上类型,可提示 IFD。楔形征、晕轮征、反晕征及新月征为肺IFD的特征性征象,HRCT对IFD诊断有重要价值。
目的:探討血液病患者繼髮肺侵襲性真菌病(IFD)的 HRCT徵象,評價其在IFD臨床診斷中的價值。方法:迴顧性分析41例血液病患者繼髮性肺IFD的 HRCT資料,分析病竈部位、形態、分佈、密度及邊緣等特徵。結果:所有病例均為多髮病竈,分為毛玻璃型和實變型(n=23),結節腫塊型(n=18),黴菌毬型(n=7),粟粒型(n=3)。CT 徵象:病竈可錶現齣為暈輪徵(n=15),磨玻璃徵(n=15),新月徵或氣環徵(n=10),楔形徵(n=6),樹芽徵(n=3),反暈輪徵(n=3),指套徵(n=3)。結論:血液病患者繼髮 IFD 肺內病竈呈多形態改變。CT 上同時齣現兩種以上類型,可提示 IFD。楔形徵、暈輪徵、反暈徵及新月徵為肺IFD的特徵性徵象,HRCT對IFD診斷有重要價值。
목적:탐토혈액병환자계발폐침습성진균병(IFD)적 HRCT정상,평개기재IFD림상진단중적개치。방법:회고성분석41례혈액병환자계발성폐IFD적 HRCT자료,분석병조부위、형태、분포、밀도급변연등특정。결과:소유병례균위다발병조,분위모파리형화실변형(n=23),결절종괴형(n=18),매균구형(n=7),속립형(n=3)。CT 정상:병조가표현출위훈륜정(n=15),마파리정(n=15),신월정혹기배정(n=10),설형정(n=6),수아정(n=3),반훈륜정(n=3),지투정(n=3)。결론:혈액병환자계발 IFD 폐내병조정다형태개변。CT 상동시출현량충이상류형,가제시 IFD。설형정、훈륜정、반훈정급신월정위폐IFD적특정성정상,HRCT대IFD진단유중요개치。
Objective:To investigate the HRCT features of pulmonary invasive fungal disease (IFD)in patients with hematologic diseases,in order to assess the clinical value of the HRCT in the diagnosis of IFD.Methods:HRCT data of 41 patients with IFD were retrospectively analyzed.The location,shape,distribution,density and margin of the lesions were evaluated.Results:All cases presented multiple lesions in bilateral lung,including ground-glass and consolidation type (23 cases),nodular or masslike type (18 cases),aspergilloma (7 cases)and miliary type (3 cases).The main CT features of IFD were halo sign in 15 cases,ground-glass sign in 15 cases,crescent sign or air-ring sign in 10 cases,wedge-shaped sign in 6 cases,tree-in-bud sign in 3 cases,reversed halo sign in 3 cases and finger-in-glove sign in 3 cases.Conclusion:The lesions of pulmonary IFD in patients with hematologic diseases appear as different shapes.Two or more types of lesions on CT are highly suggestive of IFD.The wedge-shaped sign,halo sign,reversed halo sign and the crescent sign are considered specific findings for IFD.HRCT has important value in the diagnosis of IFD.