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目的:探讨对肺真菌病的X线和CT诊断。材料和方法:对43例肺真菌病的X线和CT表现进行回顾性分析。结果:66％病例累及2个肺叶以上,双下叶受累最常见。影像学的表现有5个类型8种表现,肺内浸润较有特异性,炎性假瘤出现较多,并可有坏死空洞及中央型侵犯。结论:肺真菌病可有5种形式的影像学表现,即支气管肺浸润型、坏死空洞型、炎性假瘤型、真菌球型和中央型。多叶侵犯、多形态浸润、游走性浸润及真菌球等表现有助于肺真菌病的诊断。
Objective: To investigate the diagnosis of pulmonary fungal disease by X-ray and CT. Materials and Methods: X-ray and CT findings of 43 cases of pulmonary fungal diseases were retrospectively analyzed. Results: 66% of cases involved more than 2 lobes, double lower lobe involvement was the most common. There are 5 types and 8 manifestations of imaging. There are more specific infiltrates in the lungs and more inflammatory pseudotums. There may also be necrosis and central invasion. CONCLUSIONS: Pulmonary mycosis has five forms of imaging manifestations, bronchoalveolar infiltrates, necrotic cavities, inflammatory pseudotumors, fungal domes, and central. Multi-leaf invasion, multi-morphological infiltration, invasive infiltration and fungal ball and other performance contribute to the diagnosis of pulmonary fungal disease.