摘要
目的分析艾滋病（AIDS）合并分枝杆菌感染的影像表现，探讨其影像学特点。方法搜集经病原学证实的AIDS合并分枝杆菌感染患者36例，其中结核分枝杆菌23例，非结核分枝杆菌13例。比较它们的x线胸片及CT影像表现。结果AIDS合并结核分枝杆菌感染的影像表现不典型，肺内病灶分布广泛，分别为实变11例、胸腔积液11例、纵隔淋巴结病变11例及肺外结核14例。非结核分枝杆菌病灶局限，部分患者仅表现为纵隔淋巴结病变。结论AIDS合并分枝杆菌感染时非结核分枝杆菌感染的比例较高，影像表现不典型，常与合并其他感染的影像表现并存。
Objective To analyze the imaging features of mycobacterium in AIDS patients. Methods Twenty-three cases of mycobacterium tuberculosis and 13 patients of non-tuberculous myeobacteria were proved etiologically and included in this study. All patients underwent X-ray and CT examinations, imaging data were analyzed and compared. Results The imaging findings of mycobacterium tuberculosis in AIDS patients included consolidation （ n = 11 ） , pleural effusion （ n = 11 ） , mediastinal lymphadenopathy （ n = 11 ） . Pulmonary lesions were always diffuse distribution, and 14 patients of extrapulmonary tuberculosis were found. Pulmonary lesions in non-tuberculous myeobacteria tend to be circumscribed. Conclusions Non-tuberculous mycobacterial infection in AIDS patients is more common and usually combined with other infections. Imaging features are atypical.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2013年第1期18-22,共5页
Chinese Journal of Radiology
基金
北京市“十百千”卫生人才工程资助项目（2011）
