艾滋病并发软组织骨骼感染的X线和CT表现.pdfVIP

艾滋病并发软组织骨骼感染的X线 和CT表现 江松峰 刘晋新 陈碧华 张烈光 甘清鑫 黄德扬 [摘要] 目的 探讨艾滋病(AIDS)并发软组织骨骼感染的X线和CT表现。方法 回顾性分 析18例AIDS并发软组织骨骼感染的X线和CT表现。结果 18例AIDS并发软组织骨骼感染中，蜂 窝织炎1例，CT表现为皮下斑片状密度增高影。软组织脓肿6例，CT表现为类圆形低密度灶，增强 后呈环状强化。脓性肌炎1例，CT表现为不均匀低密度灶，增强后病灶边缘强化。脓毒性关节炎 4例，其中膝关节病变3例，髋关节病变1例；X线平片示骨质破坏2例，正常2例；CT表现为骨质破 坏3例，关节腔积液4例。骨髓炎9例，其中骨结核8例，包括椎体病变6例，X线和CT的主要表现 为椎体骨质破坏，骨质增生，死骨形成，椎间隙变窄；肋骨病变3例，CT表现为膨胀性骨质破坏；髂骨、 骶骼关节病变1例，X线和CT表现为骨质破坏，死骨形成，关节间隙增宽。股骨慢性化脓性骨髓炎 1例，X线表现为骨质破坏，骨质增生硬化，骨膜反应。结论 软组织和骨骼感染是艾滋病常见并发 症，影像检查对疾病的早期诊断和治疗具有重要意义。 [关键词]获得性免疫缺陷综合征；肌;骨骼；感染；体层摄影术;X线计算机；放射摄 影术 X-rayandCTfindingsofsofttissueandboneinfectionssecondarytoacquiredimmunodeficiency syndrome JIANGSong-feng LIUJin-xin CHENBi-hua ZHANGLie-guangGANQing-xin HUANG De-yangDepartmentofRadiology,EighthPeoplesHospitalofGuangzhou,Guangzhou510060,China [Abstract] Objective TosummarizeX-rayandCTfindingsofsofttissueandboneinfections secondarytoacquiredimmunodeficiencysyndrome(AIDS).Methods ThedataofX-rayandCTfindings ofsofttissueandboneinfectionsin18patientswithAIDSwereretrospectivelycollectedandanalyzed. Results Of18patientswithAIDS,theCTfeaturesofsofttissuedemonstratedthatsubcutaneouspatchy highdensityin1casewhichconsideredascellulitis,roundlowdensitylesionswithringenhancementin 6caseswhichconsideredassofttissueabscesses,heterogeneousdensitylesionswithperipheralenhancement in1casewhichconsideredaspyomyositis.Of18patientswithAIDS,septicarthritiswasfoundin4cases involvingkneelesionin3casesandhiplesion.Inthe4case,theX-rayfilmsshowedbonydestructionin 2casesandtheCTshowedbonedestructionin3casesandarthroedemain4cases.Of18patientswith AIDS,osteomyelitiswasfoundin9casesofwhichtuberculosiswasconsideredin8casesandvertebral involvementin6cases.Inthe9cases,theX-rayfilmsandCTdisplayedbonydestruction,hyperostosis, smallsequestra,andintervertebralspacenarrowing.Of18patientswithAIDS,costallesionswerefoundin 3casesinwhichtheCTshowedexpandablebonydestruction.Of18patientswithAIDS,iliumandcacroihac jointlesionswerefoundin1cas