AIDS 合并肺结核与单纯性肺结核影像学表现对比研究

目的 地探讨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 子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 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.

Imaging Diagnosis Value of Pulmonary Tuberculosis with AIDS and without AIDS

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.