Diagnosis value of CTVE in AIDS combined with bronchial tuberculosis: a comparative analysis with bronchoscopy

doi:10.19871/j.cnki.xfcrbzz.2021.01.009

Abstract

Abstract: Objective To explore clinical value of CT virtual endoscopy（CTVE）imaging in the diagnosis of AIDS combined with bronchial tuberculosis,by contrast analysis with bronchoscopy. Methods Forty-three patients with confirmed AIDS and clinical manifestations with bronchial tuberculosis underwent CT thin-slice continuous volume scan, CT traversal images and CTVE images were used to evaluate bronchial lesions, and compared with bronchoscopy, the examination results were analyzed by statistical methods. Results For the detection rate of bronchial tuberculosis, traversal images and CTVE images were 62.8%(27/43) and 83.7%(36/43), respectively (P=0.021), and the difference was statistically significant. Compared with bronchoscopy, CTVE had no statistical significance (P>0.375). Conclusions CTVE has a higher diagnostic accuracy for bronchial tuberculosis, and it is also a non-invasive examination method, which is easy to be accepted by AIDS patients, and high clinical application value and broad clinical application prospects.

Key words: Acquired immune deficiency syndrome, Tuberculosis, Bronchial tuberculosis, Computed tomography virtual endoscopy

Liu Te, Yang Gendong, Liu Wenhao, Zheng Guangping, Zeng Xuan, Li Cuizhu, Peng yu, Zhang Hui, Wang Zhang. Diagnosis value of CTVE in AIDS combined with bronchial tuberculosis: a comparative analysis with bronchoscopy[J]. Electronic Journal of Emerging Infectious Diseases, 2021, 6(1): 40-44.

References

[1] WANG HB, MO QH, YANG Z.HIV Vaccine Research: The Challenge and the Way Forward[J]. J Immunol Res, 2015, 2015:1-5.
[2] 李萌, 钱莎莎, 邢健男,等. HIV感染者/AIDS病人死亡相关因素的研究进展[J]. 中国艾滋病性病, 2014, 20(6):462-465.
[3] 孙月, 郜桂菊, 李兴旺. 艾滋病合并结核病研究进展[J]. 中国艾滋病性病, 2013,19(8):79-81+85.
[4] 罗一婷,翁榕星,周芳,等. 2019WHO全球结核报告:全球与中国关键数据分析[J/CD].新发传染病电子杂志,2020,5(1):47-50.
[5] CHINDELEVITCH L, MENZIES NA, PRETORIUS C, et al.Evaluating the potential impact of enhancing HIV treatment and tuberculosis control programmes on the burden of tuberculosis[J]. J R Soc Interface, 2015, 12(106): 20150146.
[6] ALIYU G, EL-KAMARY SS, ABIMIKU A, et al.Mycobacterial Etiology of Pulmonary Tuberculosis and Association with HIV Infection and Multidrug Resistance in Northern Nigeria[J]. Tuberc Res Treat, 2013, 2013(1):1-9.
[7] 郝贤斌, 吴利先. 人类免疫缺陷病毒与结核分枝杆菌双重感染的研究进展[J]. 中国病原生物学杂志, 2016, 11(4):374-376.
[8] 中华医学会结核病学分会,《中华结核和呼吸杂志》编辑委员会. 气管支气管结核诊断和治疗指南(试行)[J] .中华结核和呼吸杂志, 2012, 35(8): 581-587.
[9] JUNG SS, PARK HS, KIM JO, et al.Incidence and clinical predictors of endobronchial tuberculosis in patients with pulmonary tuberculosis[J]. Respirology, 2015, 20(3): 488-495.
[10] PATHAK V, SHEPHERDh RW, SHOJAEE S.Tracheobronchial tuberculosis[J]. J Thorac Dis, 2016, 8(12):3818-3825.
[11] 丁卫民, 傅瑜. 支气管结核的诊断治疗评价[J]. 中国防痨杂志, 2011, 33(11): 697-702.
[12] LEE P.Endobronchial tuberculosis[J]. Indian J Tuberc, 2015, 62(1):7-12.
[13] SIOW WT, LEE P.Tracheobronchial tuberculosis: a clinical review[J]. J Thorac Dis, 2017, 9(1):E71-E77.
[14] JUGOAL TS, GARG A, SETHI GR, et al.Multi-detector computed tomography imaging of large airway pathology:A pictorial review[J]. World J Radiol, 2015, 7(12):459-474.
[15] LAROIA AT, THOMPSON BH, LAROIA ST, et al.Modern imaging of the tracheo-bronchial tree[J]. World J Radiol, 2010, 2(7):237-248.
[16] 宋强, 纪晓鹏, 王锡明, 等. 多排螺旋CT在支气管结核诊疗中的应用[J]. 医学影像学杂志, 2015, 25(10):1781-1784.
[17] 张超亮, 周润婷, 曾庆思, 等. MSCT三维重建技术在支气管内膜结核的诊断应用[J]. 中国CT和MRI杂志, 2013, 11(1):39-41.
[18] 吴红军, 朱建军. CT平扫在支气管内膜结核诊断中的应用[J]. 实用医学影像杂志, 2019, 20(6):645-646.
[19] 曾明, 刘畅, 凌虹. 人类免疫缺陷病毒与结核分枝杆菌双重感染的流行病学、致病机制与诊断的研究进展[J]. 国际免疫学杂志, 2005, 28(4):239-243.
[20] KIM Y, LEE KS, YOON JH, et al.Tuberculosis of the trachea and main bronchi: CT findings in 17 patients[J]. Am J Roentgenol, 1997, 168(4):1051-1056.
[21] 曾谊, 高卫卫, 张向荣. 不同病理类型气管支气管结核的CT特征[J]. 实用放射学杂志, 2019, 35(7):1054-1057.
[22] 陈众,木叶沙尔•皮达义,迪丽努尔•乌甫尔,等. CT及支气管镜在支气管结核中的诊断价值[J].临床肺科杂志,2014,19(1): 6063.
[23] 袁婧,李春华,李奇穗,等. 严重免疫缺陷时HIV/TB合并感染者胸部CT表现与CD4+T淋巴细胞计数水平的相关性研究[J/CD]. 新发传染病电子杂志,2019,4(3):145-148.
[24] 汪鲲, 郭小玲. 120例艾滋病合并胸部结核的HRCT影像表现分析[J]. 甘肃医药, 2017, 3603):208-211.
[25] 谢汝明. AIDS合并胸部结核的影像表现[J]. 新发传染病电子杂志,2017,2(3):192-192.
[26] 陆普选, 余卫业, 朱文科, 等. 艾滋病合并肺结核的影像学特征及其与CD4T淋巴细胞的相关性[J]. 中华呼吸与结核病杂志, 2005, 28(1):13-16.
[27] 徐安辉, 彭健. HIV/AIDS病人合并肺结核的影像表现及其与CD4+T淋巴细胞计数的相关性[J]. 中国艾滋病性病, 2015,2015(1):11-14.