【摘要】：目的 探討AIDS患者與非AIDS患者肺毛霉菌病影像表現(xiàn)的特點(diǎn)，并對(duì)比分析兩組患者胸部影像表現(xiàn)異同點(diǎn)，，為臨床診斷奠定影像學(xué)基礎(chǔ)。 材料與方法 搜集經(jīng)真菌培養(yǎng)確診肺毛霉菌病患者33例，全部病例均行胸部X線平片和/或CT檢查。本研究患者分成兩組：AIDS組（24例）和非AIDS組（9例），分別總結(jié)分析兩組患者影像表現(xiàn)并分析，影像觀察內(nèi)容包括：肺內(nèi)病灶部位、數(shù)量、形態(tài)、大小、密度、邊界；縱隔淋巴結(jié)情況；兩側(cè)腋窩淋巴結(jié)情況；高分辨率CT肺間質(zhì)表現(xiàn)。 結(jié)果 肺毛霉菌病的常見征象有肺紋理增粗、肺內(nèi)斑片狀滲出性病灶、雙肺多發(fā)粟粒樣結(jié)節(jié)影、磨玻璃樣密度影、肺氣囊、縱隔淋巴結(jié)腫大、胸腔積液等。其中肺內(nèi)多發(fā)滲出性病灶發(fā)生于非AIDS組（9例，100%）的概率高于AIDS組（14例，58.3%），兩組差異具有統(tǒng)計(jì)學(xué)意義（p=0.032）；雙肺多發(fā)粟粒樣結(jié)節(jié)影則更多見于AIDS組（9例37.5%）,非AIDS組未見（0例），兩組差異具有統(tǒng)計(jì)學(xué)意義(P=0.039） 結(jié)論 肺毛霉菌病的影像表現(xiàn)可多種多樣；肺毛霉菌病在非AIDS組以肺部滲出性改變明顯；在AIDS組則以雙肺多發(fā)粟粒樣結(jié)節(jié)影為特點(diǎn)。
[Abstract]:Objective to investigate the imaging features of pulmonary mycosis in AIDS patients and non-AIDS patients, and to compare and analyze the similarities and differences of chest imaging manifestations between the two groups, so as to lay the imaging basis for clinical diagnosis. Materials and methods 33 cases of pulmonary mycosis diagnosed by fungal culture were collected. All cases were examined by chest X-ray and / or CT. The patients in this study were divided into two groups: AIDS group (24 cases) and non-AIDS group (9 cases). The imaging findings of the two groups were summarized and analyzed, including the location, number, shape, size, density and boundary of the lesions in the lung. Mediastinal lymph nodes; bilateral axillary lymph nodes; High-resolution CT pulmonary interstitial manifestations. Results the common signs of pulmonary mycosis included thickening of lung texture, patch-like exudative lesions in the lungs, miliary nodules in both lungs, ground glass density shadows, pulmonary airbags, enlargement of mediastinal lymph nodes, pleural effusion, and so on. The incidence of multiple exudative lesions occurred in non-AIDS group (9 cases, 100%) was higher than that in AIDS group (14 cases, 58.3%), and there was significant difference between the two groups (p < 0.032). Multiple miliary nodular shadows in both lungs were more common in AIDS group (9 cases 37.5%) than non-AIDS group (0 cases). Conclusion the imaging manifestations of pulmonary mycosis can be varied. Pulmonary mycosis was characterized by pulmonary exudation in the non-AIDS group and multiple miliary nodular shadows in both lungs in the AIDS group.
【學(xué)位授予單位】：廣州醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R512.91;R519

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相關(guān)期刊論文 前2條

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2 陳碧華;劉晉新;李子平;江松峰;張烈光;黃德?lián)P;;艾滋病合并馬爾尼菲青霉菌感染的胸部影像學(xué)診斷價(jià)值[J];臨床放射學(xué)雜志;2009年02期

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