CAJ | 학술논문

人类免疫缺陷病毒（HIV）感染者发生活动性结核病（TB）称为HIV/TB合并感染。与HIV阴性结核病患者相比，HIV/TB合并感染者在胸部影像学表现上具有某些特殊表现，如：（1）病变范围广泛，好发部位不典型；（2）血行播散型肺结核及肺外结核更常见；（3）以渗出、增殖、干酪样坏死等急性病灶为主，且常表现为两种以上形态；（4）纵隔及肺门淋巴结肿大发生率高。熟悉H I V/T B合并感染者胸部影像学特征有助于做出及时、正确的诊断，进而有助于及时治疗和减少病死率。本文就HIV/TB合并感染的病理改变以及由此产生的胸部影像学（胸部X片、CT）特征进行综述。
인류면역결함병독（HIV）감염자발생활동성결핵병（TB）칭위HIV/TB합병감염。여HIV음성결핵병환자상비，HIV/TB합병감염자재흉부영상학표현상구유모사특수표현，여：（1）병변범위엄범，호발부위불전형；（2）혈행파산형폐결핵급폐외결핵경상견；（3）이삼출、증식、간락양배사등급성병조위주，차상표현위량충이상형태；（4）종격급폐문림파결종대발생솔고。숙실H I V/T B합병감염자흉부영상학특정유조우주출급시、정학적진단，진이유조우급시치료화감소병사솔。본문취HIV/TB합병감염적병리개변이급유차산생적흉부영상학（흉부X편、CT）특정진행종술。
Patients with both human immunodeficiency virus (HIV) infection and tuberculosis (TB) are referred to as HIV/TB co-infected patients, who have different radiographic findings. For example, pulmonary lesions are less likely to be contained within upper lobes and back lower lobes, with other parts of the lung affected easily; disseminated TB and extrapulmonary TB are more common compared with HIV negative TB patients; types of lesion are more complicated and lymphadenopathy is more common in the mediastinum and hilum in co-infected cases. Familiarizing with these particular characteristics is conducive to the diagnosis and treatment of HIV/TB co-infection, and is helpful to reducing mortality in co-infected patients. In this article, pathological change and according imaging characteristics in HIV/TB co-infected patients are reviewed.