艾滋病合并肺结核187例患者胸部CT表现

The Chest CT Features of 187 Pulmonary Tuberculosis with AIDS

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。

Abstract: 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.