变应性支气管肺曲霉病的CT表现——附17例分析

中国真菌学杂志　 2013, Vol. 8 　Issue (3): 156-159.

变应性支气管肺曲霉病的CT表现——附17例分析

宗晓福¹, 王慧¹, 俞同福²

1. 解放军第八一医院呼吸科, 南京 210002;
2. 南京医科大学第一附属医院放射科, 南京 210029

收稿日期:2013-02-04 出版日期:2013-06-28 发布日期:2013-06-28
通讯作者: 俞同福,E-mail:yu.tongfu@163.com E-mail:yu.tongfu@163.com
作者简介:宗晓福,男 (汉族),本科,副主任医师.E-mail:zongxiaofu@126.com;王慧,女 (汉族),住院医师.E-mail:wanghui02115013@163.com

The CT features in 17 cases of allergic bronchopulmonary aspergillosis

ZONG Xiao-fu¹, WANG Hui¹, YU tong-fu²

1. Department of Respiratory, 81 Hospital of PLA, Nanjing 210002, China;
2. Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

Received:2013-02-04 Online:2013-06-28 Published:2013-06-28

摘要/Abstract

摘要： 目的探讨变应性支气管肺曲霉病 (ABPA)的CT特点,进一步提高对该病的认识。方法回顾性分析17例ABPA的CT表现,所有的患者均按目前的ABPA诊断标准进行诊断。结果 17例患者均有中心性支气管扩张征象,13例并支气管黏液栓形成,为分支状或挤牙膏状或长管状"Y"形,7例以树芽征为主要表现的小叶中心结节形成,9例有斑片状浸润影,2例随访见中心性支气管扩张有游走性。结论变应性支气管肺曲霉病 (ABPA)的CT表现相对有特征性,以中心性支气管扩张为主,常伴有较高密度的支气管腔内黏液栓形成,结合临床一般能做出诊断。

关键词: 肺曲霉菌病, 变异性支气管, CT

Abstract: Objective To evaluate the CT features of allergic bronchopulmonary aspergillosis (ABPA), and to improve this problem.Methods The CT features in 17 cases of ABPA were analyzed retrospectively, all patients were diagnosed according to the standard diagnostic criterion of ABPA.Results The CT depicted central bronchiectasis in 17 cases.The mucoid impaction of the dilated bronchial tree were seen in 13 cases, presenting as gloved-finger and toothpaste and "Y" appearance.CT showed bronchiectasis and tree buds signs in all patients;patchy areas of consolidation or atelectasis were observed in 9 cases.Fleeting infiltration in 2 cases on following up.Conclusion s The diagnosis of ABPA should be considered in patient with long-standing asthma whose CT demonstrates central bronchiectasis with slightly hyperdense mucoid impaction.

Key words: lung asperllosis, allergic-bronchopulmonary, computed tomography

中图分类号:

R562.2

宗晓福, 王慧, 俞同福. 变应性支气管肺曲霉病的CT表现——附17例分析[J]. 中国真菌学杂志, 2013, 8(3): 156-159.

ZONG Xiao-fu, WANG Hui, YU tong-fu. The CT features in 17 cases of allergic bronchopulmonary aspergillosis[J]. Chinese Journal of Mycology, 2013, 8(3): 156-159.

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