艾滋病合并肺结核患者普通胸片影像分析

Analysis of Radiologicalin Photograph in Patients with Pulmonary Tuberculosis in AIDS

目的探讨艾滋病(AIDS)合并肺结核患者普通胸片的影像学特征,以提高其诊断水平。方法收集2007～2009年73例艾滋病合并肺结核患者的普通胸片影像资料,与98例单纯性肺结核患者的影像表现进行对比分析。结果 AIDS合并肺结核与单纯性肺结核患者相比,病变累及部位及范围均有统计学意义(P<0.05);AIDS合并肺结核患者斑片和(或)大片实变影、多发空洞、多发结节影、纵隔(或)腋下淋巴结肿大、胸腔积液影出现几率明显高于单纯性肺结核患者。结论 AIDS患者胸部影像学征象表现呈多肺叶、大片状、多发空洞、纵隔淋巴结肿大时,应首先考虑肺结核的可能。

Objective To study the imaging characteristics of pulmonary tuberculosis in acquired immune deficiency syndrome （AIDS） so as to improve diagnosis. Methods There were 73 patients with confirmed pulmonary tuberculosis in AIDS and 98 patients with pulmonary tuberculosis without ANDS were compared in imaging characteristics of radiologiealin photograph from 2007 to 2009. Results The affected locus and scope in two groups were statistically significant（P〈0.05）. The probability of patients with pulmonary tuberculosis in AIDS was higher than patients with pulmonary tuberculosis without AIDS in patching and （or） massive consolidation shadows,etcher cavitates ,creber tuberculum shadows,interpleural space. Conclusion Pulmonary tuberculosis should be considered firstly when patients with AIDS had imaging findings of large lamellar atypical infiltration in multi-lobes of lung, creber cavitates,interpleural space lymphadenectasis in chest.