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肝移植术后肺真菌感染的CT表现及其动态变化

CT Findings and Dynamic Changes of Pulmonary Fungal Infection after Liver Transplantation

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【作者】 陈世林罗明月汤志勇赖丽莎梁文威覃杰董云旭

【Author】 CHEN Shilin,LUO Mingyue,TANG Zhiyong,et al.The People’s Hospital of Yongzhou City,Yongzhou,Hunan 425000,P.R.China

【机构】 湖南省永州市人民医院放射科中山大学附属第三医院放射科中山大学附属第六医院放射科广州市海珠区第一人民医院放射科

【摘要】 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。

【Abstract】 Objective To analyze the CT findings and dynamic changes of pulmonary fungal infection after liver transplantation and to evaluate the clinical diagnostic value.Materials and Methods The CT findings of 56 patients with pulmonary fungal infection after liver transplantation were analyzed retrospectively.Results There were exudation or consolidation in 37 cases(66.07%),nodule or masslike lesions in 18 cases(32.14%),aspergilloma in 1 cases(1.79%).Among them,40 cases were multifocal lesions,and 35 cases had multiple manifestations.The lesion patterns were changeable during therapy.Conclusion CT findings of pulmonary fungal infection after liver transplantation are multifocal lesions,multiple and changeable manifestations,which has great value in diagnosis.

  • 【文献出处】 临床放射学杂志 ,Journal of Clinical Radiology , 编辑部邮箱 ,2009年03期
  • 【分类号】R657.3;R519;R816.4
  • 【被引频次】7
  • 【下载频次】204
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