CT应用于获得性免疫缺陷综合征伴肺结核感染患者的诊断价值及影像学表现

发布时间：2018-04-03 03:03

  本文选题：获得性免疫缺陷综合征　切入点：肺结核　出处：《中华医院感染学杂志》2017年10期

【摘要】：目的探讨CT用于获得性免疫缺陷综合征伴肺结核感染患者的诊断价值,为临床诊治提供参考。方法选取2010年1月-2015年2月医院收治的60例获得性免疫缺陷综合征伴肺结核患者为观察组;另选取同期60例正常免疫伴肺结核患者为对照组;统计两组患者手术组织病理学及实验室检查结果、临床表现及预后情况;分析两组患者病变类型和分布及范围;比较两组患者CT表现。结果观察组患者发热、呼吸困难、乏力、纳差、体重下降、浅表淋巴结肿大、头痛、腹泻、视物模糊、口腔黏膜白斑、皮肤瘙痒、皮疹、尿频、尿痛、尿急、伴其他肺部感染、肺外结核等发生率均明显高于对照组,差异有统计学意义(P0.05);观察组患者病变多位于中下肺,而对照组多位于上肺,观察组患者病变范围分布于3叶以上者明显多于对照组,而局限于1叶肺者明显少于对照组,Ⅰ、Ⅱ、Ⅳ及Ⅴ型者明显多于对照组,差异有统计学意义(P0.05);观察组CT征象钙化、空洞和纤维化及支气管扩张率明显低于对照组,而纵隔淋巴结肿大和粟粒结节及胸腔积液率明显高于对照组(P0.05)。结论获得性免疫缺陷综合征患者临床症状较多,且其肺内病灶主要位于其中下肺,并累及3叶及以下;但当采用CT检查提示患者出现淋巴结肿大或胸腔积液或粟粒结节征象时,则需考虑患者发生肺结核,从而可实施针对性诊治,为改善其预后提供帮助。
[Abstract]:Objective to evaluate the value of CT in diagnosis of acquired immunodeficiency syndrome with pulmonary tuberculosis.Methods from January 2010 to February 2015, 60 patients with acquired immunodeficiency syndrome with pulmonary tuberculosis were selected as observation group, 60 normal immune patients with pulmonary tuberculosis as control group.The results of histopathology and laboratory examination, clinical manifestations and prognosis of the two groups were analyzed. The types, distribution and range of pathological changes in the two groups were analyzed. The CT findings of the two groups were compared.Results the patients in the observation group had fever, dyspnea, fatigue, anorexia, weight loss, superficial lymphadenopathy, headache, diarrhea, blurred vision, leukoplakia of oral mucosa, pruritus, rash, frequent urination, urinal pain, urinal urgency, and other pulmonary infections.The incidence of extrapulmonary tuberculosis was significantly higher than that of the control group (P 0.05), the patients in the observation group were mostly located in the middle and lower lungs, while the patients in the control group were mostly located in the upper lung, and the range of lesions in the observation group was significantly higher than that in the control group.In the control group, the number of type 鈪，

本文编号：1703312