艾滋病合并肺结核与单纯肺结核患者胸部影像学特征的对比分析

Comparative analysis of AIDS patients complicated with pulmonary tuberculosis and pulmonary tuberculosis and chest imaging features

目的对比分析艾滋病合并肺结核患者与单纯肺结核患者胸部影像学的差异,提高临床医师对艾滋病合并肺结核的认识。方法对我院2011年6月至2014年6月收治的经病理证实的67例艾滋病合并肺结核(观察组)和85例单纯肺结核(对照组)患者的胸部影像学资料进行对比分析。结果与对照组相比,观察组肺结核的影像学检查常呈多肺野、多肺段受累,表现更为多样化和不典型。结论艾滋病合并肺结核与单纯肺结核患者的影像学表现存在差异。艾滋病合并肺结核患者的影像学多为渗出性或粟粒性病变,且病变分布范围常位于中上肺野,临床医师和影像科医师应对表现不典型的肺结核患者引起警惕。

Objective To compare and analyze the chest imaging difference between AIDS patients with tuberculosis and simple tuberculosis patients, so as to improve the awareness of clinicians for AIDS patients with tuberculosis. Methods 67 AIDS patients with tuberculosis from June 2011 to June 2014 of our hospital and the 85 simple tuberculosis patients were compared and analyzed by their chest imaging data. Results Compared with the control group, multi-lung field and multi-segment were commonly involved in study group, and performance was more diverse and not typical. Conclusion There were differences between AIDS patients with pulmonary tuberculosis and simple tuberculosis patients in radiographic manifestations. AIDS patients with pulmonary tuberculosis was exudative or miliary lesions in radiologic imaging mostly, and distribution of lesions often located in the upper range of the lung field, so clinicians and imaging physicians should be on the look-out of atypical tuberculosis patients.