中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2013年
1期
18-22
,共5页
杨钧%孙月%魏连贵%徐云良%李兴旺
楊鈞%孫月%魏連貴%徐雲良%李興旺
양균%손월%위련귀%서운량%리흥왕
获得性免疫缺陷综合征%分枝杆菌,结核%分枝杆菌,非典型性%体层摄影术,X线计算机
穫得性免疫缺陷綜閤徵%分枝桿菌,結覈%分枝桿菌,非典型性%體層攝影術,X線計算機
획득성면역결함종합정%분지간균,결핵%분지간균,비전형성%체층섭영술,X선계산궤
Acquired immunodeficiency syndrome%Mycobacterium tuberculosis%Mycobacteria,atypical%Tomography,X-ray computed
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.
目的 分析艾滋病(AIDS)閤併分枝桿菌感染的影像錶現,探討其影像學特點.方法 搜集經病原學證實的AIDS閤併分枝桿菌感染患者36例,其中結覈分枝桿菌23例,非結覈分枝桿菌13例.比較它們的X線胸片及CT影像錶現.結果 AIDS閤併結覈分枝桿菌感染的影像錶現不典型,肺內病竈分佈廣汎,分彆為實變11例、胸腔積液11例、縱隔淋巴結病變11例及肺外結覈14例.非結覈分枝桿菌病竈跼限,部分患者僅錶現為縱隔淋巴結病變.結論 AIDS閤併分枝桿菌感染時非結覈分枝桿菌感染的比例較高,影像錶現不典型,常與閤併其他感染的影像錶現併存.
목적 분석애자병(AIDS)합병분지간균감염적영상표현,탐토기영상학특점.방법 수집경병원학증실적AIDS합병분지간균감염환자36례,기중결핵분지간균23례,비결핵분지간균13례.비교타문적X선흉편급CT영상표현.결과 AIDS합병결핵분지간균감염적영상표현불전형,폐내병조분포엄범,분별위실변11례、흉강적액11례、종격림파결병변11례급폐외결핵14례.비결핵분지간균병조국한,부분환자부표현위종격림파결병변.결론 AIDS합병분지간균감염시비결핵분지간균감염적비례교고,영상표현불전형,상여합병기타감염적영상표현병존.
Objective To analyze the imaging features of mycobacterium in AIDSpatients.Methods Twenty-three cases of mycobacterium tuberculosis and 13 patients of non-tuberculous mycobacteria 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 mycobacteria 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.
