Knollmann F D, Grünewald T, Mäurer J, Schedel H, Schröder R, Pegios W, Vogl T J, Pohle H D, Felix R
Strahlenklinik und Poliklinik, Freie Universität Berlin, Klinikum Rudolf Virchow.
Aktuelle Radiol. 1995 Nov;5(6):351-5.
The exact frequency of pathologic findings in abdominal computed tomograms of HIV-infected patients is not yet known. To analyse such findings, CT scans of 339 HIV-infected patients were reviewed. While over four fifths of patients displayed abnormal findings; hepatosplenomegaly, lymphadenopathy, pathologically enlarged lymph nodes, and bowel wall thickening were the most common signs of disease. Only for enlarged lymph nodes could a dependency on clinical stage of the infection be demonstrated. As a conclusion, abdominal computed tomography reveals pathologic findings in the vast majority of HIV-infected patients, almost independent of clinical stage. Specifically, CT provides well documented lymph node staging. There are practically no age-or sex-dependent disease patterns in abdominal CT scans.
HIV感染患者腹部计算机断层扫描中病理结果的确切发生率尚不清楚。为分析这些结果，对339例HIV感染患者的CT扫描进行了回顾。虽然超过五分之四的患者显示出异常结果；肝脾肿大、淋巴结病、病理性肿大的淋巴结和肠壁增厚是最常见的疾病体征。只有肿大的淋巴结显示出与感染临床分期有关。结论是，腹部计算机断层扫描在绝大多数HIV感染患者中显示出病理结果，几乎与临床分期无关。具体而言，CT提供了记录良好的淋巴结分期。腹部CT扫描中几乎没有年龄或性别相关的疾病模式。
