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目的探讨艾滋病合并肺结核患者肺结核影像学特点及与CD4的相关性。方法收集整理2012年1月至2014年12月在长沙市第一医院北院就诊的210例艾滋病患者的资料,回顾性分析其合并肺结核概率,并选择同期在本院接受治疗的单纯肺结核患者32例,比较艾滋病合并肺结核患者与单纯肺结核患者CT表现及艾滋病合并肺结核患者CD4+T淋巴细胞检测结果。结果 210例艾滋病患者中有46例合并结核病感染,发病率为21.90%,艾滋病合并肺结核患者多发于下肺叶,单纯肺结核者多发于上肺叶或肺尖(P<0.05),胸腔积液方面,艾滋病合并肺结核患者与单纯肺结核患者比较差异未见统计学意义(P>0.05);艾滋病合并肺结核患者CD4+T细胞计数为(45.32±10.61)个/μl。结论艾滋病患者合并肺结核发病率较高,艾滋病合并肺结核患者CD4+T细胞计数较低,且艾滋病合并肺结核与单纯肺结核在影像学特征上存在差异性,这对艾滋病合并肺结核的临床诊断具有重要意义。
Objective To investigate the pulmonary tuberculosis features and the correlation with CD4 in AIDS patients with pulmonary tuberculosis. Methods The data of 210 HIV / AIDS patients from January 2012 to December 2014 in the north hospital of Changsha First Hospital were collected and analyzed retrospectively. The patients with simple pulmonary tuberculosis who were treated in our hospital during the same period were selected. To compare the CT findings of AIDS patients with tuberculosis and those with tuberculosis and the results of CD4 + T lymphocyte test in patients with AIDS complicated with pulmonary tuberculosis. Results Of 210 AIDS patients, 46 cases were infected with tuberculosis infection, the incidence was 21.90%. Patients with AIDS complicated with tuberculosis were mostly found in the lower lobes. Patients with tuberculosis were mostly found in the upper lobes or apical (P <0.05), pleural effusion, There was no significant difference between patients with tuberculosis and those with tuberculosis only (P> 0.05). CD4 + T cell counts in patients with AIDS complicated with pulmonary tuberculosis were (45.32 ± 10.61) / μl. Conclusion The incidence of combined tuberculosis in AIDS patients is high. CD4 + T cell count is lower in HIV / AIDS patients with pulmonary tuberculosis. There is difference in the imaging features between HIV / AIDS and tuberculosis, which is of great significance in the clinical diagnosis of AIDS complicated with pulmonary tuberculosis.