AIDS合并肺结核与单纯性肺结核影像学表现对比研究  

Imaging Diagnosis Value of Pulmonary Tuberculosis with AIDS and without AIDS

作　　者：滕录霞[1] 高剑波[1] 赵青霞[2] 郭华[1] 杨学华[1] 周志刚[1] 岳松伟[1] 

机构地区：[1]郑州大学第一附属医院放射科,郑州市450052 [2]郑州市第六人民医院,郑州市450015

出　　处：《医药论坛杂志》2007年第4期31-33,共3页Journal of Medical Forum

基　　金：河南省卫生厅科技攻关项目(豫医科2004-13-02)

摘　　要：目的探讨AIDS合并肺结核与单纯性肺结核影像表现。方法对确诊的56例AIDS合并肺结核与单纯性肺结核患者43例的螺旋CT表现进行对比分析。结果AIDS合并肺结核与单纯性肺结核患者相比,病变累及范围在两组中的出现几率之间差异具有统计学意义(P<0.05)。病变影像特征:斑片或(和)大片实变影44(78.6%)例,多发空洞27(48.2%)例,多发结节影35(62.5%)例,纵隔和(或)腋下淋巴结肿大24(42.9%)例,胸腔积液影26(46.4%)例,在两组出现几率之间的差异具有统计学意义(P<0.05)。结论AIDS患者胸部肺结核影像表现呈多肺叶、大片状不典型浸润,或多发结节样播散。当影像征象表现呈多肺叶、大片状、多发空洞、纵隔淋巴结肿大,应首先考虑结核可能。Objective To study the imaging findings of pulmonary tuberculosis with AIDS and without AIDS. Methods 56 patients with confirmed pulmonary tuberculosis with AIDS and 43 patients with pulmonary tuberculosis without AIDS were analyzed. Results The difference in frequency of involving scope in two groups was statistic significance（ P 〈0. 05 ） , the difference in frequency of characteristic in pathological changes was statistic significance （ P 〈 0. 05 ）, patching and massive consolidation shadow 44 （ 78.6% ）, creber cavitates 27 （ 48.2% ）, creber tuberculum shadows 35 （62.5 % ）, interpleural space and oxter lymphadenectasis 24 （42.9 % ）, pleural effussion 26 （46. 4% ）. Conclusion Pulmonary tuberculosis imaging findings of patients with AIDS were large lamellar atypical infiltration in multi - lobes of lung, or multi - tuberculum ＇like disseminating. When patients had imaging findings of large lamellar atypical infiltration in multi - lobes of lung, creber cavitates, interpleural space lymphadenectasis, pulmonary tuberculosis should be considered chiefly.

关 键 词：AIDS 胸部 结核 体层摄影 X线计算机 

分 类 号：R816.41[医药卫生—放射医学]