| 变应性支气管肺曲霉菌病的HRCT表现 |
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| 引用本文： | 陈广源,陈汉威,邓宇,郑晓涛,陈淮,蓝日辉.变应性支气管肺曲霉菌病的HRCT表现[J].中国CT和MRI杂志,2009,7(1):32-34. |
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| 作者姓名： | 陈广源 陈汉威 邓宇 郑晓涛 陈淮 蓝日辉 |
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| 作者单位： | 1. 广州市番禺区人民医院
2. 广州医学院第一附属医院 |
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| 摘 要： | 目的评价变应性支气管肺曲霉菌病的HRCT表现。方法 回顾性分析7例变应性支气管肺曲霉菌病患者的肺部高分辨率CT图像,结果 7例（100％）患者均可见到中心性支气管扩张，共累及28/35个（80％）肺叶和70/126个（55％）肺段;7例（100％）扩张支气管腔内均可见粘波嵌塞，呈指套样、牙膏状改变,其中5例（71%）为稍高密度，1例（14％）可见到钙化；4例（57％）可见肺实变；2例（28％）合并肺叶含气不全；3例（42％）合并肺门淋巴结增大。结论长期哮喘的病人如果HRCT上发现中心性支气管扩张，同时管腔内可见稍高密度的粘液嵌塞或高密度钙化，需考虑ABPA的可能。
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| 关 键 词： | 体层摄影术 X线计算机 曲霉菌病 变应性支气管肺 真菌病 |
The HRCT features of allergic bronchopulmonary aspergillosis |
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| Authors: | CHEN Guan-yuan CHEN Han-wei DENG Yu |
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| Institution: | CHEN Guan-yuan,CHEN Han-wei,DENG Yu,et al.Department of Radiology,Panyu People's Hospital,Guangzhou 511400,China |
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| Abstract: | Objective To study the HRCT features of Allergic Bronchopulmonary Aspergillosis.Methods The lung HRCT of 7 cases were all reviewed retrospectively.Results The HRCT depicted central bronchiectasis in 7 cases(100%),involving 28/35(80%) lobes and 70/126(55%) segments;The mucoid impaction of the dilated bronchial tree wee seen in all 7 cases(100%),presenting as gloved-finger and toothpaste appearance,while some mucus were slightly hyperdensen of 5 cases and were high-attenuation calcification of 1 case;Consolid... |
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| Keywords: | tomography X-Ray computed aspergillosis allergic bronchopulmonary mycoses |
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