成人支原体肺炎CT诊断分析

目的:观察成人支原体肺炎CT表现,为临床诊断提供依据。方法:采用回顾性病例分析方法,对我院2012年6月-2013年6月确诊的58例支原体肺炎的CT图像进行整理与分析。结果:所有患者中,其中52例(89.66%)CT表现为结节状或小斑片状气腔实变影(见图1),双侧6例,单侧20例;45例(77.85%)表现为磨玻璃密度影(见图2),双侧12例,单侧33例;32例(55.17%)可见支气管血管束增粗;31例(53.45%)呈现树芽征(见图3),双侧5例,单侧26例;15例(25.86%)可见淋巴结肿大(见图4),42例(72.41%)患者的病变范围局限于单个肺叶之内。所有患者中16例(27.59%)患者的病变范围涉及两个以上肺叶,42例(72.41%)患者的病变范围局限于单个肺叶之内。结论:支原体肺炎CT表现特征性较为明显,可作为其诊断与鉴别诊断依据应用于临床实践之中。

CT Diagnosis of Mycoplasma Pneumonia in Adults

Objective： To observe the CT manifestations of adult mycoplasma pneumonia, provide the basis for clinical diagnosis. Methods： A retrospective case analysis, our hospital in June 2012 - CT image in June 2013 confirmed 58 cases of mycoplasma pneumonia collate and analyze. Results： patients, of which 52 cases （89.66%） CT showed a small nodular or patchy air space opacities Figure 1）, 6 cases of bilateral, unilateral 20 cases, 45 cases （77.85%） showed ground-glass opacity Figure 2）, bilateral in 12 cases, 33 cases of unilateral, 32 cases （55.17%） visible thickening of All see see the bronchial vascular bundles, 31 cases （53.45%） showed a tree -in-bud （see Figure 3）, five eases of bilateral, unilateral 26 cases, 15 cases （25.86%） visible lymph nodes （see Figure 4）, 42 cases （72.41%） patients with lesions confined to a single lobe of. All patients with lesions in 16 cases （27.59%） patients involves more than two lobes, lesions 42 cases （72.41%） patients confined to a single lobe of. Conclusion： CT features of Mycoplasma pneumonia is more obvious, as a basis for the diagnosis and differential diagnosis in clinical practice.