Correlation Between CT Manifestation Types and CD4+T Lymphocytes in AIDS Combined with Pneumocystis Pneumonia
10.3969/j.issn.1005-5185.2017.06.012
- VernacularTitle:艾滋病合并肺孢子菌肺炎的CT表现分型与CD4+T淋巴细胞的相关性
- Author:
Zhengping XIE
;
Bin ZHU
- Keywords:
Acquired immunodeficiency syndrome;
Pneumonia,pneumocystis;
Tomography,spiral computed;
CD4-positive T-lymphocytes
- From:
Chinese Journal of Medical Imaging
2017;25(6):447-451
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To investigate the CT features of different pneumocystis pneumonia (PCP) types in AIDS as well as the relationship between different PCP types and CD4+ T lymphocyte count,in order to deepen the understanding and improve the diagnosis and treatment of PCP.Materials and Methods The CT examination data of 102 AIDS patients with PCP were retrospectively analyzed,the CT findings were divided into 6 types,and CD4+ T lymphocyte count of the 6 PCP types was statistically analyzed.Results ① The CT findings of PCP were divided into the following 6 types:transparent ground-glass type (42 cases,41.2%),muddy ground-glass type (17 cases,16.7%),solid variant (11 cases,10.8%),cystic variant (6 cases,5.9%),interstitial type (19 cases,18.6%),and mixed type (7 cases,6.9%).② The CD4+ T lymphocyte count of different PCP types was analyzed,and the difference was statistically significant (F=2.672,P<0.05).Further pairwise comparison showed that the CD4+T lymphocyte count of transparent ground-glass type was higher than that of solid variant and cystic variant (P<0.05),and there was no significant difference between the other groups (P>0.05).Conclusion CT findings of AIDS with PCP have certain characteristics,and it is helpful to deepen the understanding of PCP through imaging classification.There is a certain correlation between different PCP types and CD4+T lymphocyte count,and it is helpful to improve the diagnosis and treatment of PCP by analyzing the correlation.