摘要
目的分析肺结核合并人类免疫缺陷病毒(HIV)感染患者的胸部电子计算机断层扫描(CT)特征,为临床诊断和治疗工作提供研究依据。方法选取2015年6月-2017年12月医院诊治的70例肺结核合并HIV感染患者作为病例组,选取同期70例单纯肺结核患者作为对照组。对两组患者的胸部CT表现特征进行对比和分析。结果两组患者均以男性居多,临床表现多为消瘦、咳嗽咳痰、盗汗等,差异均无统计学意义。病例组患者肺部病灶分布以二叶和三叶以上为主,对照组患者的肺部病灶分布以一叶为主,差异有统计学意义(P<0.05)。病例组患者肺部CT表现以斑片阴影、片阴影、条索阴影、栗粒阴影居多,而对照组患者以结节阴影、斑点阴影居多。病例组患者中出现纵膈淋巴结增大、胸腔积液、肺外结核等CT表现的比例较多,对照组患者中出现空洞、钙化等CT表现的比例较多,两组比较差异均有统计学意义(P<0.05)。结论肺结核合并HIV感染患者的胸部CT表现具有一定的特征性,能够作为辅助诊断的手段之一,临床医师应综合应用包括影像学检查在内的多种诊断方法,从而提高诊断和治疗效果。
OBJECTIVE To investigate the chest computed tomography(CT)features of the pulmonary tuberculosis patients complicated with human immunodeficiency virus(HIV)infection so as to provide guidance for clinical diagnosis and treatment.METHODS Totally 70 pulmonary tuberculosis patients complicated with HIV infection who were treated in hospitals from Jun 2015 to Dec 2017 were chosen as the case group,meanwhile,70 single pulmonary tuberculosis patients were set as the control group.The chest CT manifestations were observed and compared between the two groups of patients.RESULTS The male patients were dominant among the two groups of patients;the emaciation,cough and expectoration and night sweat were the major clinical manifestations,and there were no significant differences.The two leaves and more than three leaves of pulmonary lesions were dominant among the patients in the case group,and the one leave of pulmonary lesions was dominant among the patients in the control group,and there was significant difference(P<0.05).The chest CT of the patients in the case group was mainly characterized by patchy shadow,shadow,shadow bands,and miliary shadows,while the chest CT of the patients in the control group was mainly characterized by nodular shadows and shadow spots.The patients with the CT manifestations such as mediastinal lymphadenovarix,pleural effusion and extra pulmonary tuberculosis were dominant in the case group,while the patients with the CT manifestations such as cavity and calcification were dominant in the control group,and there were significant differences between the two groups(P<0.05).CONCLUSION The chest CT manifestations of the pulmonary tuberculosis patients complicated with HIV infection show certain characteristics,which can be used as one of means for auxiliary diagnosis.It is necessary for clinicians to comprehensively use multiple diagnosis methods including the imageological examination so as to improve the effect of diagnosis and treatment.
作者
王洪
唐光才
林永
唐成燕
李蕾
WANG Hong;TANG Guang-cai;LIN Yong;TANG Cheng-yan;LI Lei(The Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2019年第1期36-39,共4页
Chinese Journal of Nosocomiology
基金
四川省医药卫生科技计划基金资助项目(20141220)
关键词
肺结核
人类免疫缺陷病毒
感染
电子计算机断层扫描
Pulmonary tuberculosis
Human immunodeficiency virus
Infection
Computed tomography
