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原发性肺隐球菌病的CT表现
引用本文:申景涛,辛小燕,贾支俊,李爱梅,张颖,冯雪凤,郭万华. 原发性肺隐球菌病的CT表现[J]. 医学影像学杂志, 2011, 21(9): 1335-1338
作者姓名:申景涛  辛小燕  贾支俊  李爱梅  张颖  冯雪凤  郭万华
作者单位:1. 南京大学医学院附属鼓楼医院核医学科 PET-CT室 江苏南京210008
2. 南京大学医学院附属鼓楼医院放射科 江苏南京210008
摘    要:目的:分析原发性肺隐球菌病的CT表现,以提高对该病的认识。方法:回顾性分析我院9例经病理证实的原发性肺隐球菌病患者的临床及胸部CT表现。结果:9例原发性肺隐球菌病患者,男7例,女2例,有基础病变5例。结节肿块型5例(56%);实变型1例(11%);混合型3例(33%);右肺病灶4例,双肺均有病灶5例。3例可见树芽征,4例可见空洞。病灶均分布在下肺外周带和胸膜下。4例手术切除,5例治疗后CT随访斑片影吸收和结节影减少缩小,2例治疗过程中出现空洞。结论:原发性肺隐球菌病CT表现多样,无特异性,CT追踪检查能较敏感准确的反映病灶的变化,认识此病的CT表现有助于该病的及时诊断和鉴别诊断。

关 键 词:肺隐球菌病  体层摄影术,X线计算机  诊断

CT appearance of primary pulmonary cryptococcosis
SHEN Jing-tao,XIN Xiao-yan,JIA Zhi-jun,LI Ai-mei,ZHANG Ying,FENG Xue-feng,GUO Wan-hua. CT appearance of primary pulmonary cryptococcosis[J]. Journal of Medical Imaging, 2011, 21(9): 1335-1338
Authors:SHEN Jing-tao  XIN Xiao-yan  JIA Zhi-jun  LI Ai-mei  ZHANG Ying  FENG Xue-feng  GUO Wan-hua
Affiliation:SHEN Jing-tao1,XIN Xiao-yan2,JIA Zhi-jun1,LI Ai-mei1,ZHANG Ying1,FENG Xue-feng1,GUO Wan-hua11.Department of Nuclear PET-CT Medicine,The Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,P.R.China2.Department of Radiology,P.R.China
Abstract:Objective:To analyze the CT appearance of primary pulmonary cryptococcosis(PPC) so as to improve the identification of this disease.Methods:The clinical and CT imaging data of 9 patients with PPC conformed by pathology were retrospectively analyzed.Results:The patients consisted of 7 males and 2 females,5 cases had basis diseases.Image manifestation of PPC had three types: mass and nodule(n=5,56%),consolidation(n=1,11%),mixed by node and consolidation(n=3,33%).Location of lesion was only in right lung in 4 ...
Keywords:Pulmonary Crytococcosis  Tomography  X-ray computed  Diagnosis  
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