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目的：探讨肺霉菌病影像诊断的价值及限制。材料及方法：肺霉菌病患者２０例，男１１例、女９例。手术病理证实１１例，尸检证实２例，痰培养霉菌阳性７例。全部病例行Ｘ线检查、７例行ＣＴ检查，５例有系列Ｘ线片。结果：２０例肺霉菌病影像表现为肺炎、支气管肺炎８例，肺脓肿５例，结节性肉芽肿５例，霉菌球２例。影像诊断肺霉菌病７例，误诊１３例。结论：Ｘ线、ＣＴ检查对肺霉菌病的诊断有一定的价值，对不具特征性影像表现者，必须密切结合临床并对影像表现动态观察，对诊断本病有极大的帮助
Objective: To investigate the value and limitation of pulmonary mycosis imaging diagnosis. Materials and Methods: 20 patients with pulmonary mycosis, 11 males and 9 females. 11 cases were confirmed by pathology, 2 cases were confirmed by autopsy, 7 cases were positive by sputum culture. All cases underwent X-ray examination, 7 cases underwent CT examination, and 5 cases had serial X-ray films. Results: The images of 20 cases of pulmonary mycosis were pneumonia, bronchial pneumonia in 8 cases, lung abscess in 5 cases, nodular granuloma in 5 cases and mycosphere in 2 cases. Imaging diagnosis of pulmonary mycosis in 7 cases, misdiagnosed in 13 cases. Conclusion: X-ray and CT examination have certain value in the diagnosis of pulmonary mycosis. For those who have no characteristic image, they must be closely combined with the clinical observation and dynamic observation of the image, which is of great help in the diagnosis of this disease