艾滋病合并念珠菌食管炎的放射学诊断  

Radiologic diagnosis of candida esophagitis in AIDS

作　　者：任军[1] 王善政[1] 苏桂兰[1] B.Kazema 

机构地区：[1]山东医科大学附属医院,济南250012 [2]Muhimbili医疗中心放射科

出　　处：《中国皮肤性病学杂志》1998年第4期200-202,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的：本文描述了AIDS并发念珠菌食管炎的X线表现，旨在能对早期诊断提供帮助。方法：对11例AIDS并发念珠菌食管炎患者，行常规和双重对比食管造影。结果：念珠菌食管炎表现为在正常食管粘膜上散在并相互分离的斑块样病变；暴发型食管炎则呈现粗糙、不规则的食管外观，似“杂草丛生”状。暴发型念珠菌食管炎多并发于AIDS患者，且可能是其首发症状。当发现此种X线表现时，应高度怀疑病人为AIDS患者。结论：联合应用常规和双重对比食管造影，可提高对念殊菌食管炎诊断的敏感度和精确度，是一种可广泛应用的非侵入性检查方法。The study presents the radiologic features of the candida esophagitis with acquired immunodeficiency syndrome (AIDS)for earlier diagnosis. Materials and methods Candida cesophagitis was diagnosed radiographically in 11 patients with AIDS, both single and double contrast techniques were cmployed. Results The plaquelike defects were observed as diserete lesions separated by normal segments of intervening mucosa;in severe cases, the esophagus eventually may have a grossly irregular or 'shaggy' contour. The shaggy esophagus of fulminant candidosis may be the initial manifestation of AIDS, the possibility of AIDS should be suspected when it had been detected on barium studies. Conclusion Both single and double contrast esophagography can provide more sensitive and accurate diagnostie information for candida esophagitis in noninvasive fashion,and could be widely used in evaluating patients at risk for AIDS.

关 键 词：艾滋病 食管炎 含珠菌病 X线诊断 

分 类 号：R512.910.1[医药卫生—内科学]