摘要
目的探讨艾滋病合并不同类型肺孢子菌肺炎(PCP)的CT表现特征,以及各型PCP与CD^(4+)T淋巴细胞计数的关系,以提高对PCP的认识和诊治水平。资料与方法回顾分析102例艾滋病患者合并PCP的CT检查资料,对其CT表现进行分型,并对6种类型PCP的CD^(4+)T淋巴细胞计数进行分析。结果 (1)将PCP的CT表现分为以下6种类型:透明磨玻璃型(42例,41.2%),浑浊磨玻璃型(17例,16.7%),实变型(11例,10.8%),囊变型(6例,5.9%),间质型(19例,18.6%),混合型(7例,6.9%)。(2)各型PCP多组间CD^(4+)T淋巴细胞计数差异有统计学意义(F=2.672,P<0.05)。进一步两两比较,透明磨玻璃型的CD^(4+)T淋巴细胞计数高于实变型、囊变型(P<0.05),其他组间差异均无统计学意义(P>0.05)。结论艾滋病合并PCP的CT表现具有一定特征,对其进行影像学分型有助于加深对PCP的认识。各型PCP与CD^(4+)T淋巴细胞计数有一定的相关性,分析其相关性有助于提高PCP的诊断和治疗水平。
Purpose To investigate the CT features of different pneumocystis pneumonia（PCP） types in AIDS as well as the relationship between different PCP types and CD^4＋ T lymphocyte count, in order to deepen the understanding and improve the diagnosis and treatment of PCP. Materials and Methods Materials and Methods The CT examination data of 102 AIDS patients with PCP were retrospectively analyzed, the CT fi ndings were divided into 6 types, and CD^4＋ T lymphocyte count of the 6 PCP types was statistically analyzed. Results（1） The CT fi ndings of PCP were divided into the following 6 types： transparent ground-glass type（42 cases, 41.2%）, muddy ground-glass type（17 cases, 16.7%）, solid variant（11 cases, 10.8%）, cystic variant（6 cases, 5.9%）, interstitial type（19 cases, 18.6%）, and mixed type（7 cases, 6.9%）.（2） The CD^4＋ T lymphocyte count of different PCP types was analyzed, and the difference was statistically signifi cant（F=2.672, P〈0.05）. Further pairwise comparison showed that the CD^4＋ T lymphocyte count of transparent ground-glass type was higher than that of solid variant and cystic variant（P〈0.05）, and there was no signifi cant difference between the other groups（P〈0.05）. Conclusion CT findings of AIDS with PCP have certain characteristics, and it is helpful to deepen the understanding of PCP through imaging classification. There is a certain correlation between different PCP types and CD^4＋ T lymphocyte count, and it is helpful to improve the diagnosis and treatment of PCP by analyzing the correlation.
作者
谢正平
朱斌
XIE Zhengping ZHU Bin(Department of Radiology, the Affiliated Drum Tower Hospital of Nanjing University Medical College, Nanjing 210008, China)
出处
《中国医学影像学杂志》
CSCD
北大核心
2017年第6期447-451,共5页
Chinese Journal of Medical Imaging
