浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2014年
3期
289-293
,共5页
AIDS%纵隔%结核%淋巴结%CT
AIDS%縱隔%結覈%淋巴結%CT
AIDS%종격%결핵%림파결%CT
AIDS%mediastinum%tuberculosis%lymph node%CT
[目的]探讨艾滋病（acquired immune deficiency syndrome，AIDS）合并纵隔淋巴结结核的临床及CT表现特点，以提高对其的认识。[方法]将26例AIDS合并纵隔淋巴结结核作为研究对象（简称合并组），26例无免疫损害的纵隔淋巴结结核作为对照组，对比分析两组的临床及影像学特点。[结果]AIDS合并纵隔淋巴结结核的临床特点：①结核菌素试验（PPD）阳性率，合并组7.7%，对照组73.1%，P=0.000，两组差异有统计学意义；②CD4+T淋巴细胞计数，合并组（6～108）×106/L，对照组（425～557）×106/L，t=55.75,P＜0.001,两组差异有统计学意义。CT表现特点：①病变累及3～5组以上淋巴结，合并组20例，对照组6例，P=0.000，两组差异有统计学意义；②平扫淋巴结密度均匀，合并组4例，对照组15例，P=0.003，两组差异有统计学意义；③平扫淋巴结有低密度区，合并组20例，对照组10例，P=0.005，两组差异有统计学意义；④淋巴结有钙化，合并组2例，对照组12例，P=0.004，两组差异有统计学意义；⑤均匀强化，合并组4例，对照组15例，P=0.012，两组差异有统计学意义；⑥分格状强化，合并组16例，对照组6例，P=0.033，两组差异有统计学意义。[结论]AIDS合并纵隔淋巴结结核的临床及CT表现具有一定特点，有助于提示诊断。
[目的]探討艾滋病（acquired immune deficiency syndrome，AIDS）閤併縱隔淋巴結結覈的臨床及CT錶現特點，以提高對其的認識。[方法]將26例AIDS閤併縱隔淋巴結結覈作為研究對象（簡稱閤併組），26例無免疫損害的縱隔淋巴結結覈作為對照組，對比分析兩組的臨床及影像學特點。[結果]AIDS閤併縱隔淋巴結結覈的臨床特點：①結覈菌素試驗（PPD）暘性率，閤併組7.7%，對照組73.1%，P=0.000，兩組差異有統計學意義；②CD4+T淋巴細胞計數，閤併組（6～108）×106/L，對照組（425～557）×106/L，t=55.75,P＜0.001,兩組差異有統計學意義。CT錶現特點：①病變纍及3～5組以上淋巴結，閤併組20例，對照組6例，P=0.000，兩組差異有統計學意義；②平掃淋巴結密度均勻，閤併組4例，對照組15例，P=0.003，兩組差異有統計學意義；③平掃淋巴結有低密度區，閤併組20例，對照組10例，P=0.005，兩組差異有統計學意義；④淋巴結有鈣化，閤併組2例，對照組12例，P=0.004，兩組差異有統計學意義；⑤均勻彊化，閤併組4例，對照組15例，P=0.012，兩組差異有統計學意義；⑥分格狀彊化，閤併組16例，對照組6例，P=0.033，兩組差異有統計學意義。[結論]AIDS閤併縱隔淋巴結結覈的臨床及CT錶現具有一定特點，有助于提示診斷。
[목적]탐토애자병（acquired immune deficiency syndrome，AIDS）합병종격림파결결핵적림상급CT표현특점，이제고대기적인식。[방법]장26례AIDS합병종격림파결결핵작위연구대상（간칭합병조），26례무면역손해적종격림파결결핵작위대조조，대비분석량조적림상급영상학특점。[결과]AIDS합병종격림파결결핵적림상특점：①결핵균소시험（PPD）양성솔，합병조7.7%，대조조73.1%，P=0.000，량조차이유통계학의의；②CD4+T림파세포계수，합병조（6～108）×106/L，대조조（425～557）×106/L，t=55.75,P＜0.001,량조차이유통계학의의。CT표현특점：①병변루급3～5조이상림파결，합병조20례，대조조6례，P=0.000，량조차이유통계학의의；②평소림파결밀도균균，합병조4례，대조조15례，P=0.003，량조차이유통계학의의；③평소림파결유저밀도구，합병조20례，대조조10례，P=0.005，량조차이유통계학의의；④림파결유개화，합병조2례，대조조12례，P=0.004，량조차이유통계학의의；⑤균균강화，합병조4례，대조조15례，P=0.012，량조차이유통계학의의；⑥분격상강화，합병조16례，대조조6례，P=0.033，량조차이유통계학의의。[결론]AIDS합병종격림파결결핵적림상급CT표현구유일정특점，유조우제시진단。
[Objective] To investigate the clinical and CT features of HIV(AIDS) with mediastinal lymph node tuberculosis, in order to raise awareness on it.[Methods] 26 cases of HIV(AIDS) combined mediastinal lymph node tuberculosis were col ected as the study group and 26 cases of non-immune damage mediastinal lymph node tuberculosis as a control group, the clinical and radiological features comparative analysis was made between two groups. [Results] AIDS combined mediastinal lymph node tuberculosis clinical features: ①PPD-positive rate, the combined group 2 patients, in the control group of 19 patients, P=0.000≤0.05, the difference was statistical y significant. ② CD4+ T lymphocyte count consolidated group(6~108) ×106/L, the control group(425 ~ 557) ×106/L, t= 55.75, P<0.001≤0.01, the difference was statistical y significant. CT features: ① lesion involving more than 3~5 lymph nodes, combined group of 20 patients, 6 cases in the control group, P=0.000≤0.05, the difference was statistical y significant; ②unenhanced lesions density, the combined group of four cases, 15 cases in the control group, P=0.003≤0.05, the difference was statistical y significant; ③lesions unenhanced low-density areas, the combined group of 20 cases, 10 cases in the control group, P=0.005≤0.05, the difference was statistical y significant; ④ calcified lesions combined group 2 patients, in the control group of 12 patients, P=0.004≤0.05, the difference was statistical y significant; homogeneous enhancement; ⑤4 cases in combination group with control groups 15 cases, P=0.012≤0.05, the difference was statistical y significant; ⑥ points trel is strengthen the combined group of 16 patients in the control group of six cases, P=0.033≤0.05, the difference was statistical y significant. [Conclusion] The clinical and CT findings of combined mediastinal lymph node tuberculosis have some characteristics that wil help prompt diagnosis of HIV(AIDS) .
