31例AIDS病人腹部结核的CT影像学特征

发布时间：2018-05-28 17:06

本文选题：艾滋病病人 + 腹部结核　；参考：《中国艾滋病性病》2015年12期

【摘要】：目的探讨艾滋病(AIDS)病人腹部结核的CT表现特征。方法收集2008年4月至2012年3月,重庆市公共卫生医疗救治中心收治的31例AIDS合并腹部结核病人的CT影像及临床资料,分析其CT影像特征。结果 31例AIDS合并腹部结核病人中,表现为腹部多部位结核,以淋巴结结核最常见(26例),其次依次为结核性腹膜炎(22例)、肠结核(10例)、肝脏结核(5例)、脾脏结核及腹壁结核(各2例)。淋巴结结核主要分布于腹腔干及腰3椎体以上腹主动脉周围,96.8%环形强化,其中7例淋巴结肿大融合呈多房状及花环样强化。结核性腹膜炎病人中,4例出现高密度腹腔积液(CT值20HU)。其余部位结核表现无明显特异性。结论艾滋病合并腹部结核常表现为腹部多脏器受累,淋巴结结核病灶范围广泛且易多部位同时发生。
[Abstract]:Objective to investigate the CT features of abdominal tuberculosis in patients with AIDS. Methods from April 2008 to March 2012, the CT images and clinical data of 31 patients with AIDS complicated with abdominal tuberculosis in Chongqing Public Health Medical Center were collected and their CT imaging features were analyzed. Results among the 31 patients with AIDS complicated with abdominal tuberculosis, the patients presented with multiple abdominal tuberculosis. The most common cases of lymph node tuberculosis were tuberculous peritonitis (n = 22), intestinal tuberculosis (n = 10), hepatic tuberculosis (n = 5), spleen tuberculosis (n = 2) and abdominal wall tuberculosis (n = 2). The tuberculous lymph nodes were mainly located in the abdominal trunk and the abdominal aorta above the lumbar 3 vertebrae with 96. 8% circular enhancement. In 7 cases, the lymph node enlargement and fusion presented multilocular and rosette like enhancement. In 4 patients with tuberculous peritonitis, high density hydroceliac effusion and CT value of 20 HUU were found. The other tuberculosis showed no obvious specificity. Conclusion AIDS complicated with abdominal tuberculosis is often characterized by multiple abdominal organs involvement, and the focus of lymph node tuberculosis is extensive and easy to occur at multiple sites at the same time.
【作者单位】：重庆市公共卫生医疗救治中心放射科;重庆医科大学附属第一医院放射科;
【分类号】：R512.91;R816.5

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