Imaging diagnosis of pulmonary fungal infection
肺部真菌性感染的影像学诊断探讨

摘要

目的 对临床肺部真菌感染影像学诊断及特征进行探讨，希望可以为该病症后期诊断提供丰富理论依据。方法 随机选取2021年7月-2022年8月间来镇平县第一人民医院进行治疗的疑似肺部真菌感染患者80例为研究对象，入院患者均采取CT及X线检查。以病原学检查结果为金标准对临床检查肺部真菌感染过程中CT及X线的诊断特异度、灵敏度、符合率以及CT影像学表现进行对比。结果 根据本次病原学检查可以发现，所有入选80例患者中有75例为肺部真菌感染阳性，实际占比达到93.75%。而且根据检查结果可以显示，与x线检查相比较，CT检查对于肺部真菌感染检查的灵敏度和符合率明显更高，差异显著，P<0.05。而两种不同检查方法特异度无明显差距，P>0.05。在CT影像学辅助诊断肺部真菌感染的过程中其主要表现由肿块影、肺结节、空洞等。结论 在临床诊断肺部真菌感染的过程中CT诊断具有更高的灵敏度和诊断符合率，肺部真菌感染影像学诊断最为常见的影像学表现有肿块影、肺结节、空洞等。

Abstract

Objective To explore the imaging diagnosis and characteristics of clinical pulmonary fungal infection, hoping to provide rich theoretical basis for the later diagnosis of the disease.
Methods A total of 80 patients with suspected pulmonary fungal infection who received treatment in Zhenping County First People's Hospital from July 2021 to August 2022 were randomly selected as the research objects. All the admitted patients were examined by CT and X-ray. The diagnostic specificity, sensitivity, coincidence rate and CT imaging findings of CT and X-ray in the course of clinical examination of pulmonary fungal infection were compared using the results of etiology as the gold standard.
Results According to the etiological examination, 75 of the 80 patients were positive for pulmonary fungal infection, accounting for 93.75%. Moreover, according to the examination results, compared with X-ray examination, the sensitivity and coincidence rate of CT examination for pulmonary fungal infection were significantly higher, the difference was significant (P<0.05). There was no significant difference in specificity between the two methods (P>0.05). In the process of CT imaging assisted diagnosis of pulmonary fungal infection, the main manifestations include mass shadow, pulmonary nodules, cavities, etc.
Conclusion   CT diagnosis has higher sensitivity and diagnosis coincidence rate in the process of clinical diagnosis of pulmonary fungal infection. The most common imaging manifestations in the diagnosis of pulmonary fungal infection include mass shadow, pulmonary nodule, cavity, etc.