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1、艾滋病合并肺结核的X线平片分析中华现代影象学毒查塑皇!曼堡垒生箜鲞箜!l_?论着?艾滋病合并肺结核的X线平片分析李先军,赖玉麟?999?【摘要]目的探讨艾滋病(AIDS)合并肺结核(PTB)的胸部X线影像表现.方法回顾性分析42例AIDS合并P,rB的正侧位X线胸片,42例均有胸部CT检查资料.结果42例中浸润型肺结核30例,其中合并胸腔积液8例,血行播散型肺结核7例,原发型肺结核5例;肺部阴影多为大片状或小片状互相融合状,边缘模糊,其中可有空洞;肺门,纵隔淋巴结肿大多见;病灶分布广泛,常常双肺多叶多段同时受累.结论胸部
2、x线检查对艾滋病合并肺结核的诊断以及在确定病变的范围与程度,抗结核治疗动态效果评价等方面具有重要价值.【关键词]艾滋病;肺结核;X线诊断【中圈分类号]R814.41;R519.91[文献标识码】A[文章编号】1681—2824(2006)11—0999—02X?rayfilmfindingsofacquiredimmunodeficiencysyndromecomplicatedbypulmonarytuberculosisL/Xian咖,l,L4,一lin.DepartmentofRadiology,TheFriend
3、shipHospitalofYiliPrefecture,Xinjiang835000,China[Abstract]ObjectiveToevaluatechestfilmsofacquiredimmunodeficiencysyndrome(AIDS)complicatedbypulmonarytuberculosis(PTB).MethodsRetrospectivelyanalyzedX—ra艾滋病合并肺结核的X线平片分析中华现代影象学毒查塑皇!曼堡垒生箜鲞箜!l_?论着?艾滋病合并肺结核的X线平片分析李先军,赖
4、玉麟?999?【摘要]目的探讨艾滋病(AIDS)合并肺结核(PTB)的胸部X线影像表现.方法回顾性分析42例AIDS合并P,rB的正侧位X线胸片,42例均有胸部CT检查资料.结果42例中浸润型肺结核30例,其中合并胸腔积液8例,血行播散型肺结核7例,原发型肺结核5例;肺部阴影多为大片状或小片状互相融合状,边缘模糊,其中可有空洞;肺门,纵隔淋巴结肿大多见;病灶分布广泛,常常双肺多叶多段同时受累.结论胸部x线检查对艾滋病合并肺结核的诊断以及在确定病变的范围与程度,抗结核治疗动态效果评价等方面具有重要价值.【关键词]艾滋病;肺
5、结核;X线诊断【中圈分类号]R814.41;R519.91[文献标识码】A[文章编号】1681—2824(2006)11—0999—02X?rayfilmfindingsofacquiredimmunodeficiencysyndromecomplicatedbypulmonarytuberculosisL/Xian咖,l,L4,一lin.DepartmentofRadiology,TheFriendshipHospitalofYiliPrefecture,Xinjiang835000,China[Abstract]Ob
6、jectiveToevaluatechestfilmsofacquiredimmunodeficiencysyndrome(AIDS)complicatedbypulmonarytuberculosis(PTB).MethodsRetrospectivelyanalyzedX—rayimagesof42casesofAIDScom—plicatedbyPTB.ThoracicCTscanwasemployedinallcases.ResultsThirtycaseswithinfiltratingPTB(in—cludi
7、ng8casescomplicatedbyhydrothorax),sevencaseswithblooddisseminatedPTB,andfivecaseswithpri—maltyPTB.Numerousspottedandpatchyexudativingshadowswithnodularlesions,pulomonarycavitationshilarand/ormediastinallymphadenopahywereseenonbilaterallung,theborderwasfuzzy,multi
8、lobesandsegmentswereinvasive,mainlyfusiontrendwasfound.ConclusionChestfilmexaminationcannotonlyhelpdiagnosisofAIDScomplicatedbyPTB.butcanalsohelptoassessthepro