艾滋病合并卡式肺孢子菌肺炎的CT特点及与预后的关系

发布时间：2018-05-04 06:07

本文选题：肺炎 + 卡氏肺孢子菌　；参考：《放射学实践》2016年07期

【摘要】：目的:探讨艾滋病合并卡式肺孢子菌肺炎(PCP)的影像特点及其与预后的关系。方法:回顾性分析2014年8月-2015年8月临床或病理确诊为艾滋病合并PCP 55例患者的病例资料,总结其CT影像学特点,并探讨其与预后的关系。结果:艾滋病合并PCP最常见的影像特征为磨玻璃密度影,共55例,其次为网格影25例、结节19例、实变12例、肺气囊9例;少见表现:胸腔积液2例,心包积液1例,气胸、纵隔气肿、皮下气肿1例。常见分布类型:弥漫不均匀型26例,弥漫均匀型14例,肺门旁型10例;少见分布:胸膜下型5例,未见单一大叶或小叶分布型。上述影像特征动态变化呈多样性。单一磨玻璃密度组和多种征象混合组的治愈率差异无统计学意义(P0.05)。结论:艾滋病合并PCP具有一定的影像学特点,这些能够为临床诊断及预后评估提供一定的依据。
[Abstract]:Objective: To investigate the image characteristics of AIDS combined with Pneumocystis pneumoniae (PCP) and its relationship with the prognosis. Methods: a retrospective analysis of the clinical or pathological diagnosis of AIDS combined with PCP in August, August 2014, -2015 was reviewed, and its CT imaging features were summarized, and the relationship with the prognosis was discussed. Results: AIDS combined with PCP was the most important. The common imaging features were glass density shadow (55 cases), followed by 25 cases of mesh shadow, 19 cases of nodules, 12 cases of real change, 9 cases of pulmonary airbag, 2 cases of pleural effusion, 1 cases of pericardial effusion, pneumothorax, mediastinal emphysema, 1 cases of subcutaneous emphysema, 26 diffuse uneven homogenization, 14 diffuse homogeneous and 10 cases; rare distribution: pleura; pleura There were no single large leaflets or lobule distribution in 5 cases. The dynamic changes of the above images were varied. There was no significant difference in the cure rate between the single grinding glass density group and the multiple sign mixing group (P0.05). Conclusion: AIDS combined with PCP has certain imaging characteristics, which can provide a certain basis for clinical diagnosis and prognosis evaluation. According to it.

【作者单位】：南阳医专一附院影像科;首都医科大学附属北京佑安医院放射科;
【分类号】：R512.91;R519.8;R816.41

【参考文献】