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目的分析肝移植术后肺真菌感染的CT表现及其动态变化特点,评价其临床诊断价值。资料与方法回顾性分析56例肝移植术后肺真菌感染的CT表现。结果肝移植术后肺真菌感染的CT表现为渗出或实变37例(66.07%)、结节或肿块样病变18例(32.14%)、曲菌球1例(1.79%)。其中多部位发生者40例(71.43%),同时存在上述2种或2种以上表现者35例(62.50%),并且在治疗过程中病灶形态多变。结论肝移植术后肺真菌感染的CT表现具有多部位发生、多种表现同时出现和病灶形态多变的特点,它对肝移植术后肺真菌感染的诊断具有重要的价值。
Objective To analyze the CT features and dynamic changes of pulmonary fungal infection after liver transplantation and evaluate its clinical value. Materials and Methods Retrospective analysis of CT findings of lung fungal infection in 56 cases after liver transplantation. Results The CT findings of pulmonary fungal infection after exudation were 37 cases (66.07%) of exudation or consolidation, 18 cases (32.14%) of nodules or mass lesions, and 1 case of aspergillosis (1.79%). Among them, 40 cases (71.43%) occurred in multiple sites, 35 cases (62.50%) had two or more above-mentioned manifestations at the same time, and the morphology of lesions varied during the treatment. Conclusions CT findings of pulmonary fungal infection after liver transplantation have multiple sites and many kinds of manifestations occur simultaneously and the morphology of the lesions is variable. It is of great value in the diagnosis of pulmonary fungal infection after liver transplantation.