艾滋病合并念珠菌食管炎的放射诊断及鉴别诊断

The Radiological Diagnosis and Differential Diagnosis of Complicated Candidal Esophagitis in AIDS Patients

目的:探讨艾滋病合并念珠菌食管炎的X线表现特点。材料与方法:回顾性分析经证实的42例艾滋病合并念珠菌食管炎的X线特点。结果:组患者中所有病例食管动力异常,以中下段食管(31/42)受累为主且随病变进展范围呈由下向上发展,34例呈毛刷样边缘,29例黏膜表面呈鹅卵石样充盈缺损。结论:本病是AIDS患者最常见的食管机会性感染,"毛刷征"与"鹅卵石征"是其主要X线特点,可一定程度在影像学与其他食管机会性感染进行鉴别。

Purpose：To explore the radiographic characteristics of complicated candidal esophagitis in AIDS patients.Materials and Methods：To retrospectively ana1yze the image findings of complicated candidal esophagitis in 42 AIDS patients.Results：All of the patients showed abnormal motility.The involved areas mainly included middle and lower parts of the esophagus（31/42） and enlarged from lower parts to upper parts of the esophagus;34 of the patients had irregular 1umen contour showing＂brush sign＂and 29 of the ones had fi11ing defect showing＂cobblestone sign＂.Conclusion：Candidal esophagitis was most common esophageal opportunistic infections in AIDS patients.The mainly radiogrdphic characteristics of in AIDS patients comp1icated with candidial esophagitis were＂brush sign＂and＂cobblestone sign＂ and the findings can be in some degree differential diagnostis from the orher esophageal opportunistic infections.