肺霉菌病影像诊断的探讨（附20例报告）

目的：探讨肺霉菌病影像诊断的价值及限制。材料及方法：肺霉菌病患者２０例，男１１例、女９例。手术病理证实１１例，尸检证实２例，痰培养霉菌阳性７例。全部病例行Ｘ线检查、７例行ＣＴ检查，５例有系列Ｘ线片。结果：２０例肺霉菌病影像表现为肺炎、支气管肺炎８例，肺脓肿５例，结节性肉芽肿５例，霉菌球２例。影像诊断肺霉菌病７例，误诊１３例。结论：Ｘ线、ＣＴ检查对肺霉菌病的诊断有一定的价值，对不具特征性影像表现者，必须密切结合临床并对影像表现动态观察，对诊断本病有极大的帮助

Imaging Diagnosis of Pulmonany Mycosis (A Report of 20 Cases)

Purpose: To recognize the value and restriction of imaging diagnosis of pulmonary mycosis. Material and Methods: 20 cases of pulmonary mycosis (male 11, female 9), proved by pathology (11 cases) and by autopsy (2 cases), sputum culture revealed mycete positiveness (7 cases). Plain chest radiography were performed on all patients. Follow up X ray were performed on 5 patients. CT examination were performed on 7 patients. Results: Pulmonary mycosis may presents imaging features like pneumonia, brochopneumonia (8 cases), pulmonary abscess (5 cases), nodosity granuloma (5 cases), fungal ball (2 cases). 7/20 cases of pulmonary mycosis were correctly diagnosed by imagings, and 13/20 cases were misdiagnosed. Conclusion: Radiographic and CT examinations are valuable to diagnose pulmonary mycosis. Close correlation with clinic findings, sputum culture results and follow up examinations are important.