肺结核合并曲霉菌属感染患者CT的临床诊断

发布时间：2018-02-28 19:16

本文关键词： CT 肺结核曲霉菌属感染临床价值　出处：《中华医院感染学杂志》2014年02期 　论文类型：期刊论文

【摘要】：目的探讨CT表现在肺结核合并曲霉菌属感染中的价值,以期提高肺结核合并曲霉菌属感染临床诊断水平。方法选取2010年1月-2013年2月的35例肺结核合并曲霉菌属感染患者临床资料进行回顾性分析,采用CT检查,将35例肺结核合并曲霉菌属感染患者作为感染组,另外选取35例肺结核无合并曲霉菌属感染患者作为对照组,观察两组患者在CT影像学的表现。结果肺结核合并曲霉菌属感染的CT病变部位可在左、右和双肺上;且形态和边缘多样,可表现为多发小斑片状影、支气管肺炎型、大叶性肺炎型、粟粒型和腐生型;可出现有钙化斑,且有胸腔积液26例,呈包裹型3例,胸膜增厚伴粘连7例;相对于非合并曲霉菌属感染,肺结核合并曲霉菌属感染的CT诊断更具有特异性。结论 CT在肺结核合并曲霉菌属感染上的影像学表现明显,有一定的诊断价值。
[Abstract]:Objective to investigate the value of CT findings in pulmonary tuberculosis with aspergillus infection. Methods the clinical data of 35 patients with pulmonary tuberculosis and aspergillus infection from January 2010 to February 2013 were retrospectively analyzed and CT examination was used. 35 patients with pulmonary tuberculosis and aspergillus infection were selected as infection group and 35 patients without pulmonary tuberculosis with aspergillus infection as control group. Results the CT lesions of pulmonary tuberculosis complicated with Aspergillus infection could be located on the left, right and double lungs, and the morphology and edge were various, with multiple patchy shadows and bronchopneumonia. Large lobular pneumonia type, miliary type and saprophytic type; calcification spots, pleural effusion in 26 cases, pleural thickening with adhesion in 7 cases, and pleural thickening with adhesion in 7 cases, as compared with non-complicated aspergillus infection, there were 26 cases of pleural effusion, 3 cases of pleural effusion, 7 cases of pleural thickening and adhesion. The CT diagnosis of pulmonary tuberculosis combined with aspergillus infection is more specific. Conclusion CT imaging findings of pulmonary tuberculosis combined with aspergillus infection are obvious and have certain diagnostic value.
【作者单位】：台州市黄岩区中医院放射科;
【基金】：浙江省医学会基金资助项目(ZW-B2009-113)
【分类号】：R521;R816.4

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