[1]岳松伟,郭华,周志刚,等.艾滋病合并肺部真菌感染的CT特征*[J].郑州大学学报(医学版),2014,(06):825.
 YUE Songwei,GUO Hua,ZHOU Zhigang,et al.CT imaging features of AIDS with pulmonary fungal infection[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2014,(06):825.
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艾滋病合并肺部真菌感染的CT特征*
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2014年06期
页码:
825
栏目:
应用研究
出版日期:
2014-11-20

文章信息/Info

Title:
CT imaging features of AIDS with pulmonary fungal infection
作者:
岳松伟郭华周志刚高剑波#
郑州大学第一附属医院放射科 郑州 450052
Author(s):
YUE SongweiGUO HuaZHOU ZhigangGAO Jianbo
Department of Radiology,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
艾滋病真菌感染体层摄影技术X射线计算机
Keywords:
acquired immune deficiency syndromefungal infectiontomographyXray computed
分类号:
R445.4
摘要:
目的:探讨艾滋病患者合并肺部真菌感染的影像学特征。方法:对33例CD4 T淋巴细胞计数≤100个/mm3的艾滋病合并肺部真菌感染的患者进行CT及HRCT扫描,对合并肿块或纵隔内的可疑淋巴结进行增强扫描。分析其发病部位、范围及影像特征。结果:艾滋病合并肺部真菌感染以念珠菌感染最常见,感染率为57.6%(19/33),高于其他真菌感染的发生率。两肺病变呈弥漫分布,右肺上叶、右肺中叶、右肺下叶、左肺上叶、左肺下叶病变的发生率分别为66.7%、63.6%、78.8%、54.5%、75.8%。以斑片或大片实变影多见,占87.9%(29/33),结节影占81.8%(27/33),空洞影占45.5%(15/33),胸腔积液占21.2%(7/33),纵隔淋巴结肿大占21.2%(7/33),真菌球占9.1%(3/33)。结论:艾滋病合并肺部真菌感染以念珠菌感染最常见;病变范围广,多为弥漫分布;以斑片状或大片实变影、结节影常见。
Abstract:
Aim: To evaluate the imaging features of AIDS with pulmonary fugal infection. Methods: A total of 33 cases of AIDS with pulmonary fungal infection under lower CD4 T lymphocyte count(<100/mm3 ) were performed with CT and HRCT scan. The patients with pulmonary mass and suspected mediastinal lymph nodes were performed with enhancement CT. The location and scope of lesions were comparatively analyzed with the imaging characters. Results: Candida infection was the most common type in AIDS with pulmonary fugal infection with the infection rate of 57.6%(19/33).The incidence of different pulmonary lobe involved by the lesion was 66.7%(right upper lobe),63.6%(right middle lobe),78.8%(right lower lobe),54.5%(left upper lobe) and 75.8%(left lower lobe), respectively. The common imaging features were large pulmonary consolidations with a incidence of 87.9%(29/33),nodules of 81.8%(27/33),cavities of 45.5%(15/33), pleural effusion of 21.2%(7/33), mediastinal lymph nodes of 21.2%(7/33)and fungoma of 9.1%(3/33),respectively. Conclusion: Candida infection is the most common type in AIDS with pulmonary fugal infection. The lesions are diffuse distribution.Large pulmonary consolidations and nodules have a more high incidence.

参考文献/References:

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备注/Memo

备注/Memo:
*河南省卫生厅科技攻关项目20141302;#通讯作者,男,1963年7月生,博士,主任医师,研究方向:胸腹部疾病影像诊断,Email:cji.gaojianbo@vip.163.com
更新日期/Last Update: 2014-11-26