摘要
目的探讨艾滋病(AIDS)合并肺结核患者的X线平片表现与CD4+T淋巴细胞的关系。方法回顾性分析临床确诊的73例艾滋病合并肺结核X线胸片资料,并定期X线胸片复查以及CD4+T淋巴细胞检测,观察其HARRT及抗结核治疗后肺部病灶的动态变化。结果 AIDS合并肺结核73例,影像学表现斑片和(或)大片实变影、多发空洞、多发结节影、纵隔(或)腋下淋巴结肿大、胸腔积液影等。病灶恶化进展39例,CD4+T淋巴细胞持续降低或衰竭;病灶吸收或缩小29例,3个月后CD4均不程度升高。结论艾滋病合并肺结核的影像学表现形态多样,缺乏特异性,CD4+T淋巴细胞的量值和适时的抗病毒治疗是影响肺结核病变的动态变化及预后的重要因素。
Objective To study the correlation between radiological Photograph features and CD4＋T lymphocytes in AIDS Pulmonary tuberculosis.Methods The radiological Photograph features of 73 patients with AIDS pulmonary tuberculosis were analyzed retrospectively and CD4＋T lymphocytes were measured regularly,at subsequently intervals.All of patients were received multidrug antiretroviral and antituberculous therapy.Results Among 73 patients with pulmonary tuberculosis,The imaging characteristics was in patching and（or） massive consolidation shadows,multiple cavitates,multiple tuberculum shadows,interpleural space.Conclusion The radio logical findings of AIDS complicated present with multiple manifestations as the radiological findings are lack of specificity.The count of CD4 ＋T lymphocytes and Antiretroviral therapy in time are vital factors,which influences the radiological change and prognosis of pulmonary tuberculosis.
出处
《中国中医药现代远程教育》
2011年第4期102-104,共3页
Chinese Medicine Modern Distance Education of China
关键词
肺结核
艾滋病
影像学
Radiological Photograph
Tuberculosis
Imaging
AIDS
