摘要
Abstract
Objective To improve the acknowledge of clinicians on CT imaging findings of nontuberculous mycobacteria pulmonary disease, and reduce the missed diagnosis and misdiagnosis. Methods The CT imaging findings of 10 cases with nontuberculous mycobacteria pulmonary disease confirmed from September 2009 to September 2013 were retrospectively studied, and the lesions form and involved area were analyzed. Results In 10 cases with nontuberculous mycobacteria pulmonary disease,there were 5 cases(50%) with lesions involving the right lung,3 cases(30%) with lesions involving the left lung, and 2 cases(20%) with lesions involving the both lungs,of which 5 cases(50%) with lesions locating in the apex of right upper lung;8 cases(80%) occurred pulmonary cavity,of which 5 cases occurred multiple cavities that located in the more than 2 pulmonary lobes, 3 cases occurred pericavity infiltration;7 cases(70%) occurred pulmonary bronchiectasis; 1 case(10%) occurred scarce bronchogenic spread. Conclusion When the patients have invalid effect after receiving formal anti-TB therapy and occur repeated discharge of bacteria in clinical,the imaging findings show that many lesions form exist during the same period, including nodule shadows,small patchy shadows, cavities, consolidation and bronchiectasis,especially when it appears nearly subpleural thin-walled cavity, the nontuberculous mycobacteria pulmonary disease should be considered,and sputum culture and strain identification should be positively done for reducing the missed diagnosis and misdiagnosis.关键词
非结核分枝杆菌/非结核分枝杆菌肺病/CT研究Key words
Nontuberculous mycobacteria/Nontuberculous mycobacteria pulmonary disease/CT study分类
医药卫生
