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目的对比不典型肺结核合并艾滋病患者的X线与CT诊断的准确率。方法选取我院在2013年7月至2015年6月收治的不典型肺结核合并艾滋病患者100例,其中100例患者均进行了X线检查,5例患者进行了CT检查,并将两种检查方式结果与临床最终诊断结果进行对比,计算其准确率,比较两种检查方式的诊断准确率,并分析不典型肺结核合并艾滋病患者的影像学特征。结果经X线检查,有78例患者诊断准确,诊断准确率为78.00%,CT检查有5例患者诊断准确,诊断准确率为100%,CT检查的诊断准确率明显高于X线检查的诊断准确率,差异存在统计学意义(P<0.05);不典型肺结核合并艾滋病患者的影像学表现为不典型浸润、不同程度胸膜病变、具有肿大的纵隔淋巴结等影像学特征。结论与X线检查比较,CT检查的诊断准确率明显更高,如患者出现不典型浸润、不同程度胸膜病变、具有肿大的纵隔淋巴结,可考虑为不典型肺结核合并艾滋病。
Objective To compare the diagnostic accuracy of X-ray and CT in patients with atypical pulmonary tuberculosis and AIDS. Methods A total of 100 cases of atypical pulmonary tuberculosis complicated with AIDS in our hospital from July 2013 to June 2015 were selected. Among them, 100 cases had X-ray examination, 5 cases had CT examination, and two methods of examination The results were compared with the final clinical diagnosis, the accuracy was calculated, the diagnostic accuracy of the two methods was compared, and the imaging features of atypical pulmonary tuberculosis complicated with AIDS were analyzed. Results According to the X-ray examination, 78 patients were diagnosed correctly, the diagnostic accuracy rate was 78.00%, CT diagnosis of 5 patients was accurate and the diagnostic accuracy was 100%. The diagnostic accuracy of CT examination was significantly higher than that of X-ray examination (P <0.05). The imaging manifestations of atypical pulmonary tuberculosis complicated with AIDS were atypical infiltration, different degree of pleural disease and enlarged mediastinal lymph nodes. Conclusion Compared with X-ray examination, the diagnostic accuracy of CT examination is significantly higher, such as patients with atypical infiltration, varying degrees of pleural disease, with enlarged mediastinal lymph nodes, can be considered as atypical pulmonary tuberculosis with AIDS.