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) .