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目的:分析艾滋病合并肺结核的影像学表现。方法:将我院收治的艾滋病合并肺结核患者38例作为观察组,另选取同期收治的30例肺结核患者作为对照组,对两组患者进行CT扫描和X线片检查,对比分析两组患者的影像学表现。结果:经CT和X线片检查,发现观察组38例患者中,12例为单侧病灶(左侧7例,右侧5例),双侧病灶26例。两组患者在肺外结核、胸腔积液、纵膈或非门淋巴结肿大、粟粒状病灶、空洞、纤维增殖灶、小片淡薄影、致密斑片影、累及2段及以上、好发部位方面比较,差异均具有统计学意义(P<0.05)。结论:单纯肺结核、合并艾滋病的肺结核二者在影像学表现方面,差异显著,临床上可利用影像学检查诊断、鉴别艾滋病合并肺结核。
Objective: To analyze the imaging manifestations of AIDS complicated with pulmonary tuberculosis. Methods: Thirty-eight cases of HIV-infected patients with tuberculosis admitted to our hospital were selected as the observation group. Thirty patients with tuberculosis admitted in the same period were selected as the control group. CT scan and X-ray examination were performed on the two groups of patients and the images of the two groups were compared Learning performance. Results: CT and X-ray examination revealed that among the 38 patients in the observation group, 12 were unilateral lesions (7 on the left and 5 on the right) and 26 on both sides. Two groups of patients in extrapulmonary tuberculosis, pleural effusion, mediastinal or non-portal lymph node enlargement, miliary lesions, voids, fibrotic lesions, small thin shadow, dense patchy shadow, involving two or more, The differences were statistically significant (P <0.05). Conclusions: Both simple tuberculosis and tuberculosis complicated with AIDS have significant difference in imaging manifestations. Clinical diagnosis of tuberculosis can be used to diagnose AIDS with tuberculosis.