HIV血清阳性和HIV血清阴性肺结核患者胸部X线特征的比较研究
A COMPARATIVE STUDY OF CHEST RADIOGRAPHIC FEATURES BETWEEN HIV SEROPOSITIVE AND HIV SERONEGATIVE PATIENTS OF PULMONARY TUBERCULOSIS.
作者信息
Debnath J, Sreeram M N, Sangameswaran K V, Panda B N, Tewari S C, Mohan Rakesh, Khanna S K
机构信息
Graded Specialist (Radiodiagnosis), Base Hospital, Barrackpore-743 101.
Professor and Head, Department of Radiodiagnosis, Armed Forces Medical College, Pune.
出版信息
Med J Armed Forces India. 2002 Jan;58(1):5-8. doi: 10.1016/S0377-1237(02)80003-X. Epub 2011 Jul 21.
Chest radiographic appearance of pulmonary tuberculosis (TB) in Human Immunodeficiency Virus (HIV) positive patients was reviewed. A study group of 50 HIV +ve cases and a control group of 100 HIV -ve cases were analysed. The chest radiographs of HIV seropositive group showed significantly higher incidence of thoracic lymphadenopathy (36% vs 8%, P<.001), pleural effusion (28% vs 10%, P<.01) and miliary pattern (12% vs 2%, P<.05) as compared to the seronegative group. Cavitation was less common in the seropositive group (8% vs 35%, P<.001) than the seronegative group. Upper zone involvement was significantly less common in the study group (38% vs 77%, P<.001) as compared to the control group.
对人类免疫缺陷病毒（HIV）阳性患者肺结核（TB）的胸部X线表现进行了回顾。分析了一个由50例HIV阳性病例组成的研究组和一个由100例HIV阴性病例组成的对照组。与血清阴性组相比，HIV血清阳性组的胸部X线片显示胸内淋巴结肿大（36%对8%，P<0.001）、胸腔积液（28%对10%，P<0.01）和粟粒样表现（12%对2%，P<0.05）的发生率显著更高。血清阳性组的空洞形成（8%对35%，P<0.001）比血清阴性组少见。与对照组相比，研究组上叶受累明显少见（38%对77%，P<0.001）。
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