GE Light speed 16 CT对肺真菌病诊断的探讨

目的：探讨肺真菌病CT影像表现特征,提高影像诊断水平。方法：回顾分析肺真菌病32例,其中,手术病理证实9例,痰培养13例,经皮肺穿刺活检证实4例,纤支镜刷检及活检5例,脑脊液培养证实1例。全部病例均行GE Light speed 16 CT扫描技术及重建技术。结果：病灶分布为左肺10例,右肺14例,双肺多发11例。病灶常多发,且以两肺下叶受侵最常见。病灶呈单/多发结节或肿块14例（约44%）;呈单/多发斑片影者共9例（约28.4%）;斑片与结节影混合者共7例（约27.6%）。结论：CT对有特征性表现的肺真菌病可作出诊断。

GE Light Speed 16 CT Findings in Diagnosis of Pulmonary Mycosis

Objective To study the CT findings in diagnosis of pulmonary mycosis and to improve its radiological diagnosis.Methods The CT findings of 32 cases of pulmonary mycosis were retrospectively analyzed,9 cases were confirmed by sur-gical pathology,13 cases were confirmed by sputum cultures,4 cases were confirmed by percutaneous needle lung biopsy,5 cases were confirmed by fibrobronchoscopy and brush biopsy,1 cases was confirmed by cerebrospinal fluid cultures.All of them were performed GE Light Speed 16 CT scan and reconstruction. Results Focus distribution： 10 cases in left lung,14 cases in right lung, 11 cases in bilateral lung. Most of lesions are muhiple,and they often can be found in inferior of bilateral lung. 14 cases are solitary / multifocal mass or nodule （44%）,9 cases are solitary or multiple patchy foci （28.4%）, 7 cases are patchy foci mixed with nodules （27.5%）. Conclusion Pulmonary mycosis with characteristic manifestation can be correctly diagnosed by CT scan.