摘要
目的:通过总结艾滋病(AIDS)合并肺结核的胸部CT表现,探讨其影像学特征。方法:回顾性分析187例AIDS合并肺结核病人的胸部CT影像资料。结果:157例患者双肺均受累,170例累及两叶及两叶以上;CT表现为粟粒性肺结核者98例,干酪样肺炎35例,空洞样病变24例,并发纵隔淋巴结肿大101例,胸腔积液80例,心包积液22例。结论:艾滋病合并肺结核患者胸部CT表现多不典型,病变部位不典型,累及范围广泛,以粟粒样结核干酪样肺炎常见,常合并纵膈淋巴结肿大及胸腔积液,CT能显示AIDS合并肺结核的各种影像特征。
Objective: To explore the CT imaging features by summarizing the chest CT image of AIDS patients with pulmonary tuberculosis. Methods: The chest CT imagines of 187 AIDS patients with pulmonary tuberculosis were retrospectively analyzed. Results: 157 cases of patients with two lung are involved, 170 cases involve more than two leaves and two leaves;CT showed miliary tuberculosis 98 cases, 35 cases of pneumonia-like cheese, hole-like lesions in 24 cases, 101 cases of concurrent mediastinal lymphadenopathy. Pleural effusion was 80 cases, 22 cases of pericardial effusion. Con- clusion: The chest CT finding of AIDS patients with pulmonary tuberculosis is atypical, the lesion is not typical, involving a wide range, with miliary tuberculosis Caseous pneumonia common, often associated with mediastinal lymphadenopathy and pleural effusion. Imaging features of pulmonary tuberculosis with AIDS can be showed by CT.
出处
《医学诊断》
2016年第1期1-4,共4页
Medical Diagnosis
