李玉蕊

摘要：目的：分析胸部CT影像学特征在艾滋病合并肺结核中的诊断价值。方法：选择我院2018年2月至2021年2月期间收治的艾滋病合并肺结核患者76例作为研究对象，在疾病诊断中应用胸部CT影像学检查，整理诊断结果，分析诊断价值。结果：76例艾滋病合并肺结核患者临床分型详细情况为：Ⅰ型、Ⅱ型、Ⅲ型、Ⅳ型、Ⅴ型患者分别为9例、13例、45例、5例和4例;经检查，一叶发病、双叶发病和三叶及以上发病患者依次为13例、13例和50例，三叶及以上发病患者人数更多;在患者病灶形态方面，斑片状影和纵隔淋巴结肿大的患者人数更多。结论：对于艾滋病合并肺结核患者诊断，应用胸部CT影像学检查，可以掌握病灶形态情况，初步确定病灶位置，明确病理变化位置和相关类型，进而以此为依据，针对性给予患者治疗，提升治疗有效率。

关键词：艾滋病;肺结核;胸部CT;诊断价值;影像学特征

中图分类号：R512.91;R521 文献标识码：B DOI：10？郾3969/j.issn.1001-0270.2021.04.03

Analysis of the Diagnostic Value of Chest CT Imaging Features in AIDS Complicated with Pulmonary Tuberculosis

LI Yu-rui

（Department of Medical Imaging， Chongqing Public Health Medical Center， Chongqing 400030， China）

Abstract： Objective： To analyze the diagnostic value of chest CT imaging features in AIDS complicated with pulmonary tuberculosis. Methods： A total of 76 AIDS patients with pulmonary tuberculosis admitted to our hospital from February 2018 to February 2021 were selected as the research objects. Chest CT imaging examinations were used in disease diagnosis activities to sort out the diagnosis results and analyze the diagnostic value. Results： The details of the clinical classification of 76 AIDS patients with pulmonary tuberculosis were： 9 cases， 13 cases， 45 cases， 5 cases and 4 cases of type Ⅰ， type Ⅱ， type Ⅲ， type Ⅳ， and type Ⅴ patients respectively; after examination there were 13 cases， 13 cases， and 50 cases of one-leaf disease， double-leaf disease， and three-leaf disease and above. In terms of patient lesion morphology， the lesion morphology was patchy shadow and The number of patients with mediastinal lymph node enlargement is higher. Conclusion： In the diagnosis of AIDS patients with pulmonary tuberculosis， the application of chest CT imaging can grasp the morphology of the patients lesions， preliminarily determine the location of the patients lesions， clarify the location of the patients pathological changes and related types， and then use this as a basis for giving targeted treatment to patients to improve the treatment efficiency.

Key Words： AIDS; tuberculosis; chest CT; diagnostic value; imaging features

受多方因素的影響，艾滋病患者很容易衍生肺结核疾病。从肺结核疾病和艾滋病的关系来看，二者相互影响、互为因果[1]。相比于常规肺结核患者的胸部CT影像学检查结果，艾滋病合并肺结核疾病患者的影像学表现不典型。同时，艾滋病合并肺结核患者的临床表现和治疗反应也与常规肺结核患者存在差异，在一定程度上增加了临床诊断工作和治疗工作的难度[2]。基于此，本文以艾滋病合并肺结核患者为中心进行研究，全面分析胸部CT影像学特征，研究胸部CT影像学诊断方式，详细研究内容报道如下。……