Ultrasonographic analysis of peripheral pulmonary lesions in AIDS-related tuberculosis
10.3760/cma.j.issn.1004-4477.2018.05.012
- VernacularTitle:艾滋病相关周边型肺结核超声影像分析
- Author:
Hengrong NONG
1
;
Nan SU
Author Information
1. 530023,南宁市第四人民医院 广西医科大学附属南宁市传染病医院 超声科
- Keywords:
Ultrasonography;
Acquired immunodeficiency syndrome;
Tuberculosis,pulmonary;
Biopsy,needle
- From:
Chinese Journal of Ultrasonography
2018;27(5):427-430
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate ultrasonographic characteristics of peripheral pulmonary lesions in AIDS-related tuberculosis,and to discuss their relationship with blood CD4+T lymphocyte level. Methods Ultrasonographic and clinical data of 63 cases of AIDS-related tuberculosis, which were confirmed by ultrasound-guided lung biopsy,were analysed retrospectively. Results Ultrasonographic characteristics classified as solid hypoechoic in 38 cases ( 60.3% ),diffused astral sign in 16 cases ( 25.4% ), and mixed solid-liquid echo in 9 cases (14.3% ).Blood CD4+T lymphocyte count was significantly lower in patients who showed diffused astral sign in pulmonary lesions ultrasonography,than those in patients who showed solid hypoechoic and mixed solid-fluid echo ( P ＜ 0.001 ). Conclusions Ultrasonography of peripheral pulmonary lesions may reveal various imaging characteristics in AIDS-related tuberculosis. The declining level of blood CD4+T lymphocyte count may determine the ultrasonographic features of pulmonary lesions.
