【摘要】 目的评价变应性支气管肺曲霉菌病的HRCT表现。方法回顾性分析7例变应性支气管肺曲霉菌病患者的肺部高分辨率CT图像。结果7例(100%)患者均可见到中心性支气管扩张,共累及28/35个(80%)肺叶和70/126个(55%)肺段;7例(100%)扩张支气管腔内均可见粘液嵌塞,呈指套样、牙膏状改变,其中5例(71%)为稍高密度,1例(14%)可见到钙化;4例(57%)可见肺实变;2例(28%)合并肺叶含气不全;3例(42%)合并肺门淋巴结增大。结论长期哮喘的病人如果HRCT上发现中心性支气管扩张,同时管腔内可见稍高密度的粘液嵌塞或高密度钙化,需考虑ABPA的可能。更多还原

【Abstract】 Objective To study the HRCT features of Allergic Bronchopulmonary Aspergillosis.Methods The lung HRCT of 7 cases were all reviewed retrospectively.Results The HRCT depicted central bronchiectasis in 7 cases(100%),involving 28/35(80%) lobes and 70/126(55%) segments;The mucoid impaction of the dilated bronchial tree wee seen in all 7 cases(100%),presenting as gloved-finger and toothpaste appearance,while some mucus were slightly hyperdensen of 5 cases and were high-attenuation calcification of 1 case;Consolidation were found in 4 cases(57%);2 cases(28%) complicated with lobar atelectasis;Hilar lymphadenopathy was seen in 3 cases(42%).Conclusion The diagnosis of ABPA should be considered in a patient with long-standing asthma whose HRCT demonstrates central bronchiectasis with slightly hyperdense mucoid impaction or high-attenuation calcification.更多还原