艾滋病影像学检查的临床应用价值

目的探讨艾滋病在影像学（X线、CT、MRI）方面的表现特点。方法对89例经血清学证实的艾滋病患者的影像学资料进行回顾性分析。结果在89例艾滋病患者的胸部X线片中有78例表现有单一或多发性病变；56例患者所行脑部、胸部或腹部CT和MRI扫描的82个器官中，有71个器官或组织表现为单一或多发异常；其中的12例做了包括X线、CT、MRI的全面检查，有9例患者均发现有多个器官或组织的异常表现。结论艾滋病患者在其免疫系统被人类免疫缺乏病毒破坏后，可感染其他的疾病并累及全身多个脏器，影像学的全面检查，特别是CT、MRI对纵隔痛变以及MRI对脑部痛变的检出率具有较高的特异性。可提前发现患者各器官、组织的受累情况，对及时治疗和控制艾滋病的进展具有较大的临床意义。

Iconography investigation of AIDS in clinic

Objective To evaluate the imaging(X-ray,CT,MRI) character of acquired immune deficiency syndrome(AIDS).Methods Iconography records of 89 AIDS patients confirmed by serology were retrospectively reviewed.Results In 89 cases,chest X-ray of 78 cases showed single or multi focus;In 56 patients,82 organs were scanned by CT and MRI on brain,chest or abdomen,among these organs,71 organs showed single or multi abnormal.Twelve patients had complete check include X-ray,CT and MRI,9 patients had multi-organs abnormal manifestation.Conclusion When the immune system of AIDS patient is destroyed by immune deficiency virus,patient may infect other diseases and affect multi organs.Complete imaging investigation has high specificity in checking lesion caused by AIDS,especially CT,MRI in mediastinum changes and MRI in brain changes.It also can find the involvement of organs in advance.These imaging methods offer better evidence for diagnosis,treatment and control of lesion caused by AIDS.