CAJ | 학술논문

目的：初步探讨艾滋病（AIDS）相关消化道病变的影像学表现。方法：回顾性分析11例 AIDS 相关消化道病变的影像学表现。行胸部平片检查11例，胸部 CT 扫描4例，腹部 CT 扫描9例，盆腔 CT 扫描2例，盆腔 MRI 检查1例，消化道内窥镜检查9例。结果：11例中消化道穿孔3例（食管穿孔2例，胃穿孔1例）、肠结核2例、巨细胞性肠炎1例、淋巴瘤4例、胃腺癌1例。食管穿孔的主要影像表现为食管-纵隔瘘伴纵隔淋巴结结核及双肺结核；胃穿孔主要表现为胃瘘伴肝左叶及肝胃间隙脓肿；肠结核主要表现为回盲部肠壁增厚；巨细胞性肠炎主要表现为乙状结肠末段及直肠管壁向心性增厚；淋巴瘤主要表现为受累消化道管壁肿块状增厚，肠腔狭窄或扩张，多伴溃疡及病变周围淋巴结增大；胃腺癌主要表现为胃壁增厚、僵硬及明显强化。结论：AIDS 相关消化道病变可表现为多种机会性感染和恶性肿瘤，影像学检查对这些病变的诊断具有重要作用。
목적：초보탐토애자병（AIDS）상관소화도병변적영상학표현。방법：회고성분석11례 AIDS 상관소화도병변적영상학표현。행흉부평편검사11례，흉부 CT 소묘4례，복부 CT 소묘9례，분강 CT 소묘2례，분강 MRI 검사1례，소화도내규경검사9례。결과：11례중소화도천공3례（식관천공2례，위천공1례）、장결핵2례、거세포성장염1례、림파류4례、위선암1례。식관천공적주요영상표현위식관-종격루반종격림파결결핵급쌍폐결핵；위천공주요표현위위루반간좌협급간위간극농종；장결핵주요표현위회맹부장벽증후；거세포성장염주요표현위을상결장말단급직장관벽향심성증후；림파류주요표현위수루소화도관벽종괴상증후，장강협착혹확장，다반궤양급병변주위림파결증대；위선암주요표현위위벽증후、강경급명현강화。결론：AIDS 상관소화도병변가표현위다충궤회성감염화악성종류，영상학검사대저사병변적진단구유중요작용。
Objective:To investigate the imaging findings of gastrointestinal lesions in AIDS patients.Methods:The imaging findings of 11 AIDS patients with gastrointestinal lesions were retrospectively analyzed.Plain chest film was per-formed in 11 cases,chest CT in 4 cases,abdomen CT in 9 cases,pelvic CT in 2 cases,pelvic MRI in 1 case,and gastrointesti-nal endoscopic examination in 9 cases.Results:Gastrointestinal perforation was found in 3 cases (2 cases esophageal perfora-tion and 1 case gastric perforation);intestinal tuberculosis in 2 cases;cytomegalovirus enteritis in 1 case;lymphoma in 4 cases;and gastric adenocarcinoma in 1 case.The radiologic image of esophageal perforation showed mediastino-esophageal fistula with mediastinal lymph nodes tuberculosis and pulmonary tuberculosis;gastric perforation showed gastric fistula with left lobe hepatic abscess and hepatogastric space abscess;intestinal tuberculosis showed thickening of ileocecal wall;cyto-megalovirus colitis showed thickening wall of the lower part of sigmoid colonand rectum;lymphoma showed tumor-like thickening of gastrointestinal wall,luminal stenosis or dilatation,accompanied by ulcer and peripheral lymph node enlarge-ment;gastric adenocarcinoma demonstrated thickening,stiffness and significant enhancement of stomach wall.Conclusion:Gastrointestinal lesions in AIDS patients may present a variety of opportunistic infections and malignancies,and imaging examination plays an important role in diagnosis of these lesions.