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目的探讨艾滋病(AIDS)患者腹部超声的声像图改变特征。方法应用B超检查360例已确诊的艾滋病患者的肝、胆、胰、脾、肾、腹部淋巴结等的超声声像图改变。结果 AIDS患者腹部B超的声像图表现为在肝脏、胆囊、脾脏,胰腺,肾脏方面均有不同程度的改变及腹腔淋巴结肿大,腹腔积液,腹壁肿块,胸腔积液等。360例AIDS患者中,肝实质回声异常108例(30.0%),胆囊壁赘物43例(11.9%),144例(40.0%)腹部多发淋巴结肿大。结论 AIDS患者的肝脏、胆囊、脾脏、胰腺、肾脏超声均有不同程度的改变及腹腔淋巴结肿大,最明显为肝脏、脾脏肿大,虽然以上声像图改变无明确特异性,但超声的阳性发现与临床症状呈正相关,结合临床病史可以为临床诊断、治疗及分期提供有价值的诊断依据。
Objective To investigate the changes of abdominal ultrasound in patients with AIDS. Methods The ultrasonographic changes of liver, gallbladder, pancreas, spleen, kidney and abdominal lymph nodes in 360 confirmed cases of AIDS were examined by B-mode ultrasonography. Results The ultrasonographic findings of abdominal ultrasonography in AIDS patients showed varying degrees of changes in liver, gallbladder, spleen, pancreas and kidney as well as abdominal lymph node enlargement, ascites, abdominal mass and pleural effusion. Of the 360 AIDS patients, 108 (30.0%) had echogenic anomalies of the liver, 43 (11.9%) had gallstone wall masses and 144 (40.0%) had multiple abdominal lymph nodes. Conclusion The liver, gallbladder, spleen, pancreas and kidneys of AIDS patients have varying degrees of change in ultrasound and abdominal lymph nodes, the most obvious liver and spleen enlargement, although no specific specificity of the above sonographic changes, but the positive ultrasound Found positive correlation with clinical symptoms, combined with clinical history can provide valuable diagnostic evidence for clinical diagnosis, treatment and staging.