CAJ | 학술논문

目的：探讨艾滋病( AIDS)合并肺结核与单纯性肺结核的CT表现差异。方法回顾性分析142例AIDS合并肺结核患者的CT表现,并与127例单纯肺结核患者的CT图像进行对照。扫描结果根据发病部位、范围及病变性质进行对比分析。结果病变部位及范围：病变累及双肺、两叶和两叶以上、上叶尖后段及下叶背段,两组间比较差异无统计学意义(P>0．05)；病变累及胸膜或淋巴结,两组出现率比较差异有统计学意义(P<0．05)。病变性质：斑片状或大片状实变阴影、大片实变合并多发空洞、纵膈内淋巴结肿大、胸腔积液及心包积液两组间比较差异有统计学意义(P<0．05),而单纯空洞、多发结节影在两组间的出现率差异无统计学意义(P>0．05)。结论 CT能显示AIDS合并肺结核的各种影像特征,AIDS合并肺结核的病变部位不典型,累及范围广泛,大片状实变、纵膈内淋巴结肿大、胸腔积液及心包积液的出现率较单纯肺结核高。
목적：탐토애자병( AIDS)합병폐결핵여단순성폐결핵적CT표현차이。방법회고성분석142례AIDS합병폐결핵환자적CT표현,병여127례단순폐결핵환자적CT도상진행대조。소묘결과근거발병부위、범위급병변성질진행대비분석。결과병변부위급범위：병변루급쌍폐、량협화량협이상、상협첨후단급하협배단,량조간비교차이무통계학의의(P>0．05)；병변루급흉막혹림파결,량조출현솔비교차이유통계학의의(P<0．05)。병변성질：반편상혹대편상실변음영、대편실변합병다발공동、종격내림파결종대、흉강적액급심포적액량조간비교차이유통계학의의(P<0．05),이단순공동、다발결절영재량조간적출현솔차이무통계학의의(P>0．05)。결론 CT능현시AIDS합병폐결핵적각충영상특정,AIDS합병폐결핵적병변부위불전형,루급범위엄범,대편상실변、종격내림파결종대、흉강적액급심포적액적출현솔교단순폐결핵고。
Objective To explore the CT imaging features difference between pulmonary tuberculosis with AIDS and pure pulmonary tuberculosis. Methods The CT features of 142 pulmonary tuberculosis patients with AIDS were analyzed retrospective-ly according to the location and character of scan findings and in comparison with that in 127 patients with pure pulmonary tubercu-losis. Results The location and range of lesions:distributed in two lungs,more than two lobes,apicoposterior segment of lobus su-perior and superior segment of lower lobe had no statistical significance between two groups(P>0. 05). The occurrence rate of le-sions involving the pleura or lymph nodes between the two groups was statistically significant(P<0. 05). Features:patchy or large sheet consolidation shadows,large consolidation combined with multiple cavities,swollen lymph nodes in the mediastinum,pleural effusion,and pericardial effusion,the difference between the two groups was statistically significant(P<0. 05),however,ocurrence rate of the mere cavities,multiple nodules between the two groups was not statistically significant(P>0. 05). Conclusion Ima-ging features of pulmonary tuberculosis with AIDS can be showed by CT,the lesions of pulmonary tuberculosis with AIDS are atypi-cal,Widely-ranging,large sheet consolidation, swollen lymph nodes in the mediastinum, pleural effusion, and pericardial effusion rate of occurrence are higher performance compared to pure pulmonary tuberculosis.