宿主免疫功能低下并发肺结核CT表现特征

发布时间：2018-11-12 10:21

【摘要】：目的:研究宿主免疫功能低下并发肺结核的CT影像表现特征。方法:搜集38例免疫功能低下并发肺结核患者的临床及CT影像资料,从病变类型、分布、大小、形态、性质以及淋巴结改变等方面进行分析。结果:免疫功能低下并发肺结核患者的CT影像表现以浸润型肺结核为主,病变广泛分布,主要表现为实变阴影(38/38,100%)、多发性结节(21/38,55%)、空洞(16/38,42.1%)、淋巴结改变(11/38,28.9%),多伴有肺气肿、纤维条索硬化、钙化、支气管狭窄或扩张、胸膜改变等征象。结论:宿主免疫功能低下并发肺结核的CT影像学表现复杂多样、多变,发病部位及CT征象均不典型;病变范围广,多性质病灶共存且易扩展播散,肺受损严重、预后差为其特点。CT检查结合病史及临床资料对明确诊断有积极意义。
[Abstract]:Objective: to study the CT imaging features of pulmonary tuberculosis with hypoimmunity. Methods: the clinical and CT imaging data of 38 patients with immunosuppression complicated with pulmonary tuberculosis were collected and analyzed from pathological types, distribution, size, morphology, nature and lymph node changes. Results: the CT findings of patients with immunosuppression complicated with pulmonary tuberculosis were mainly infiltrative pulmonary tuberculosis, and the lesions were widely distributed. The main manifestations were solid shadow (38 / 38100%), multiple nodules (21 / 38 55%). Cavity (16 / 38%), lymph node change (11 / 38%, 28.9%), pulmonary emphysema, fibrosclerosis, calcification, bronchostenosis or dilatation, pleural changes, etc. Conclusion: the CT imaging manifestations of pulmonary tuberculosis complicated with hypoimmune function of host are complicated and varied, and the location of the disease and the signs of CT are not typical. The range of lesions is wide, multiple lesions coexist and spread easily, lung damage is serious, and the prognosis is poor. CT examination combined with history and clinical data has a positive significance in the diagnosis.
【作者单位】：孝感市康复医院放射科;孝感市肺科医院放射科;
【分类号】：R521;R816.4

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