艾滋病合并脑内机会性感染患者的CT影像学表现研究

发布时间：2018-04-12 13:09

本文选题：多层螺旋CT + 艾滋病　；参考：《中华医院感染学杂志》2015年04期

【摘要】：目的分析艾滋病合并脑内机会性感染患者多层螺旋CT影像学表现特点,对多层螺旋CT在艾滋病合并脑内机会性感染患者诊断的临床价值进行研究,为及早治疗提供依据。方法对2010年1月-2012年12月收治的36例艾滋病合并脑内机会性感染患者的多层螺旋CT影像特征及临床病理诊断资料进行回顾性总结,数据采用SPSS 19.0软件进行统计分析。结果 36例艾滋病合并脑内机会性感染不同病变患者,CT影像学表现有较大差异,结核性脑膜炎和弓形虫脑病患者低密度病灶表现,分布率分别为66.7%和57.1%,而HIV脑炎和隐球酵母菌性脑炎患者低密度病灶表现较少,分布率分别为40.0%和28.6%,除人类免疫缺陷病毒(HIV)脑炎患者外,其他病变组患者均有占位效应,其中弓形虫脑病组患者85.7%有占位效应;艾滋病合并脑内机会性感染患者脑内病灶多为两侧大脑,并有部分患者累及小脑;隐球酵母菌性脑膜炎患者的CT阳性率最高71.4%,弓形虫脑病患者CT阳性率最低42.8%,差异有统计学意义(P0.05)。结论多层螺旋CT在艾滋病合并脑内机会性感染的诊断方面具有很高的应用价值,但不同感染类型有较大差异,应加以认真分辨,加强治疗。
[Abstract]:Objective to analyze the imaging features of multi-slice spiral CT (MSCT) in patients with AIDS and intracerebral opportunistic infection, and to study the clinical value of multi-slice spiral CT in the diagnosis of AIDS complicated with opportunistic infection in brain, so as to provide evidence for early treatment.Methods the imaging features and clinicopathological data of 36 AIDS patients with intracerebral opportunistic infection from January 2010 to December 2012 were retrospectively summarized. The data were analyzed by SPSS 19.0 software.Results the CT imaging findings of 36 patients with AIDS complicated with intracerebral opportunistic infection were different, and the low density lesions were found in tuberculous meningitis and toxoplasma encephalopathy.Among them, 85.7% of patients with toxoplasma encephalopathy had space-occupying effect, most of the lesions in patients with AIDS and intracerebral opportunistic infection were bilateral cerebrum, and some patients had cerebellum involvement.The positive rate of CT was the highest in patients with cryptoglobular yeast meningitis (71.4) and the lowest in patients with toxoplasma encephalopathy (42.8%). The difference was statistically significant (P 0.05).Conclusion Multi-slice spiral CT is of great value in the diagnosis of opportunistic infection in the brain, but there are great differences in different types of infection.
【作者单位】：宁波市第二医院放射科;宁波市第二医院检验科;
【基金】：浙江省卫生厅基金资助项目(2013KYB2520)
【分类号】：R512.91

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