胸部CT在艾滋病合并肺结核中的诊断价值

Diagnostic Value of Chest CT in AIDS Complicated with Pulmonary Tuberculosis

目的:分析胸部CT在艾滋病合并肺结核中的影像学特征及诊断价值。方法:选取2018年1月~2020年1月本院收治的80例艾滋病合并肺结核患者作为实验组,并选取同期本院的80例单纯肺结核患者作为参照组,所有研究对象均进行胸部CT检查诊断,对比两组患者的检查诊断结果。结果:实验组患者的病灶多累及多叶,而参照组为单个肺叶受累;实验组合并胸腔积液、心包积液、单纯空洞、多发结节阴影、纵膈内淋巴结肿大及斑片/大片实变阴影患者均多于参照组,而大片实变阴影伴多发空洞钙化例数少于参照组,差异较大(P<0.05)。结论:胸部CT可以通过对病变类型、病变位置及病变程度等影像学特征来诊断艾滋病合并肺结核。

Objective:To analyze the imaging features and diagnostic value of chest CT in AIDS patients with pulmonary tuberculosis.Methods:80 cases of AIDS complicated with tuberculosis in our hospital from January 2018 to January 2020 were selected as the experimental group,and 80 cases of simple pulmonary tuberculosis patients in our hospital during the same period were selected as the reference group.All the subjects were diagnosed by chest CT,and the examination and diagnosis results of the two groups were compared.Results:In the experimental group,most of the lesions involved multiple lobes,while the reference group involved a single lobe.The number of patients with pleural effusion,pericardial effusion,simple cavity,multiple nodule shadow,mediastinal lymph node enlargement and patch/large consolidation shadow in the experimental group were more than those in the control group,while the number of large consolidation shadow with multiple cavity calcification in the experimental group was less than that in the reference group(P<0.05).Conclusion:Chest CT can diagnose AIDS complicated with tuberculosis by imaging features such as lesion type,lesion location and lesion degree,which is worthy of clinical promotion.