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目的 总结肺部真菌感染的CT表现。方法 5例经病理证实的肺部真菌染的CT资料(4例手术证实,1例支气管镜活检,且抗真菌治疗治愈)。结果 曲霉菌1例,念珠菌2例,隐球菌2例。CT表现:①单发肿块(1例)、曲菌球(1例)、空洞(2例);②肺内弥漫性炎性灶伴肿块、结节、空洞、支气管扩张(1例)。结论 ①曲菌球CT有典型的特征改变,是曲霉菌感染的可靠依据;②肺内弥漫性炎性灶伴肿块、结节、空洞、支气管扩张和单发肿块、空洞是真菌感染的常见CT表现。
Objective To summarize the CT findings of pulmonary fungal infection. Methods CT data of 5 pathologically confirmed pulmonary mycotic stains (4 surgically confirmed, 1 bronchoscopically biopsied and cured by antifungal therapy) were obtained. Results 1 case of Aspergillus, Candida 2 cases, Cryptococcus 2 cases. CT manifestations: ① single mass (1 case), aspergilloma (1 case), empty (2 cases); ② pulmonary diffuse inflammatory lesions with mass, nodules, voids, bronchiectasis (1 case). Conclusion ① Aspergillus CT has the typical characteristics of change, is a reliable basis for Aspergillus infection; ② diffuse lung inflammation with lumps, nodules, voids, bronchiectasis and single mass, cavity is a common fungal CT which performed.