【摘要】：目的:研究宿主免疫功能低下并發(fā)肺結(jié)核的CT影像表現(xiàn)特征。方法:搜集38例免疫功能低下并發(fā)肺結(jié)核患者的臨床及CT影像資料,從病變類型、分布、大小、形態(tài)、性質(zhì)以及淋巴結(jié)改變等方面進(jìn)行分析。結(jié)果:免疫功能低下并發(fā)肺結(jié)核患者的CT影像表現(xiàn)以浸潤型肺結(jié)核為主,病變廣泛分布,主要表現(xiàn)為實(shí)變陰影(38/38,100%)、多發(fā)性結(jié)節(jié)(21/38,55%)、空洞(16/38,42.1%)、淋巴結(jié)改變(11/38,28.9%),多伴有肺氣腫、纖維條索硬化、鈣化、支氣管狹窄或擴(kuò)張、胸膜改變等征象。結(jié)論:宿主免疫功能低下并發(fā)肺結(jié)核的CT影像學(xué)表現(xiàn)復(fù)雜多樣、多變,發(fā)病部位及CT征象均不典型;病變范圍廣,多性質(zhì)病灶共存且易擴(kuò)展播散,肺受損嚴(yán)重、預(yù)后差為其特點(diǎn)。CT檢查結(jié)合病史及臨床資料對明確診斷有積極意義。
[Abstract]:Objective: to study the CT imaging features of pulmonary tuberculosis with hypoimmunity. Methods: the clinical and CT imaging data of 38 patients with immunosuppression complicated with pulmonary tuberculosis were collected and analyzed from pathological types, distribution, size, morphology, nature and lymph node changes. Results: the CT findings of patients with immunosuppression complicated with pulmonary tuberculosis were mainly infiltrative pulmonary tuberculosis, and the lesions were widely distributed. The main manifestations were solid shadow (38 / 38100%), multiple nodules (21 / 38 55%). Cavity (16 / 38%), lymph node change (11 / 38%, 28.9%), pulmonary emphysema, fibrosclerosis, calcification, bronchostenosis or dilatation, pleural changes, etc. Conclusion: the CT imaging manifestations of pulmonary tuberculosis complicated with hypoimmune function of host are complicated and varied, and the location of the disease and the signs of CT are not typical. The range of lesions is wide, multiple lesions coexist and spread easily, lung damage is serious, and the prognosis is poor. CT examination combined with history and clinical data has a positive significance in the diagnosis.
【作者單位】： 孝感市康復(fù)醫(yī)院放射科;孝感市肺科醫(yī)院放射科;
【分類號(hào)】：R521;R816.4

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1 高署,李俊,徐叔云;獲得性免疫缺陷綜合征的研究進(jìn)展[J];安徽醫(yī)藥;2001年02期

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