论文部分内容阅读
目的探讨艾滋病(AIDS)病人腹部结核的CT表现特征。方法收集2008年4月至2012年3月,重庆市公共卫生医疗救治中心收治的31例AIDS合并腹部结核病人的CT影像及临床资料,分析其CT影像特征。结果 31例AIDS合并腹部结核病人中,表现为腹部多部位结核,以淋巴结结核最常见(26例),其次依次为结核性腹膜炎(22例)、肠结核(10例)、肝脏结核(5例)、脾脏结核及腹壁结核(各2例)。淋巴结结核主要分布于腹腔干及腰3椎体以上腹主动脉周围,96.8%环形强化,其中7例淋巴结肿大融合呈多房状及花环样强化。结核性腹膜炎病人中,4例出现高密度腹腔积液(CT值>20HU)。其余部位结核表现无明显特异性。结论艾滋病合并腹部结核常表现为腹部多脏器受累,淋巴结结核病灶范围广泛且易多部位同时发生。
Objective To investigate the CT features of abdominal tuberculosis in AIDS patients. Methods The CT images and clinical data of 31 AIDS patients with tuberculosis of the abdomen who were admitted to Chongqing Public Health Medical Center from April 2008 to March 2012 were collected and their CT features were analyzed. Results Twenty-one AIDS patients with tuberculosis of the abdomen showed multiple tuberculosis in the abdomen, the most common was tuberculosis (n = 26), followed by tuberculous peritonitis (n = 22), intestinal tuberculosis (n = 10) and liver tuberculosis ), Spleen tuberculosis and abdominal wall tuberculosis (2 cases each). Lymph node tuberculosis mainly distributed in the celiac trunk and lumbar 3 vertebral bodies around the abdominal aorta, 96.8% annular enhancement, of which 7 cases of lymphadenopathy fusion was multilocular and rosette-like enhancement. Tuberculous peritonitis patients, 4 cases of high-density ascites (CT value> 20HU). The rest of the tuberculosis showed no specific specificity. Conclusions AIDS complicated with tuberculosis of the abdomen usually manifests as multiple organ involvement in the abdomen. The tuberculosis of lymph nodes is in a wide range and occurs easily at multiple sites.