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艾滋病合并非结核分枝杆菌感染的腹部CT表现
引用本文:张烈光,刘晋新,江松峰,陈碧华,黄德扬,张志平,甘清鑫,凌洲焜,黄务枝. 艾滋病合并非结核分枝杆菌感染的腹部CT表现[J]. 中国CT和MRI杂志, 2012, 10(2): 55-57
作者姓名:张烈光  刘晋新  江松峰  陈碧华  黄德扬  张志平  甘清鑫  凌洲焜  黄务枝
作者单位:广东省广州市第八人民医院放射科 广东广州510060
基金项目:2011年广东省科技厅非资助项目
摘    要:目的研究艾滋病(Acquired immuno deficiency syndrome,AIDS)合并非结核分枝杆菌感染的腹部CT表现。方法回顾性分析11例经病原学证实的艾滋病合并非结核分枝杆菌感染的腹部CT表现。结果 11例艾滋病合并非结核分枝杆菌感染腹部CT示腹部淋巴结肿大6例(54.5%,6/11);肝脾肿大6例(54.5%,6/11);肝内胆管扩张1例(9.1%,1/11);腹水2例(18.2%,2/11);2例(18.2%,2/11)腹部CT影像未见异常。结论艾滋病合并非结核分枝杆菌感染腹部CT常见表现为腹部淋巴结肿大及肝脾肿大,肿大淋巴结中央坏死及环形强化少见。

关 键 词:获得性免疫缺陷综合征  分支杆菌感染  体层摄影术  X线计算机

The Abdominal CT Findings of Non-tuberculous Mycobacterial Infection in Patientswith AIDS
Affiliation:ZHANG Lie-guang,LIU Jin-xin,JIANG Song-feng,et al.Department of Radiology,the Eighth People’s Hospital of Guangzhou,Guangzhou Guangdong 510060,China
Abstract:Objective To study the abdominal CT findings of non-tuberculous mycobacterial infection in Patients with AIDS.Materials and Methods Abdominal CT manifestations of non-tuberculous mycobacterial infection in 11 patients with AIDS were retrospectively analyzed.Results Abdominal lymph nodes were observed in 6(54.5%,6/11) cases.Hepatosplenomegaly was observed in 6(54.5%,6/11) cases.Intra-hepatic bile duct dilatation was observed in 1(9.1%,1/11) case.Ascites was observed in 2(18.2%,2/11) cases.Abdominal CT images were negative for abdomen lesions in 2(18.2%,2/11) cases.Conclusion Enlargement of abdominal lymph nodes and hepatosplenomegaly are the most common abdominal CT findings of non-tuberculous mycobacterial infection in patients with AIDS.The findings of central necrosis and rim enhancement of lymph nodes are rare.
Keywords:Acquired immunodeficiency syndrome  Mycobacterium infections  Tomography  X-ray computed
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