获得性免疫缺陷综合征相关性肝脏疾病的超声诊断

目的：探讨获得性免疫缺陷综合征（acquired immunodeficiency syndrome,AIDS）相关性肝脏疾病的超声声像图特征。方法：选择2014年6月至2016年3月某中心超声提示AIDS相关性肝脏疾病,经超声引导下穿刺活检或抽液证实的38例患者的超声声像图,对其特点进行总结。结果：AIDS相关性肝脏疾病主要包括肝脏肿大、肝结核、肝脓肿、肝淋巴瘤、肝细胞肝癌及转移性肝癌。其超声表现与普通患者的表现不同之处主要有：细菌性感染者病灶多发,病灶范围大;淋巴瘤尤其是Burkitt’s淋巴瘤的超声表现更类似于炎症性病变而非肿瘤性病变表现。肝细胞肝癌及转移性肝癌的超声表现与普通患者的表现...

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Bibliographic Details
Published in中国临床医学 Vol. 24; no. 4; pp. 536 - 539
Main Author 张晖 陆清 刘建建
Format Journal Article
LanguageChinese
Published 复旦大学附属中山医院超声科,上海 200032%复旦大学附属中山医院超声科,上海,200032%上海市公共卫生临床中心超声科,上海,201508 2017
上海市公共卫生临床中心超声科,上海 201508
Subjects
相关性肝脏疾病
获得性免疫缺陷综合征
诊断
超声
诊断
获得性免疫缺陷综合征
相关性肝脏疾病
AIDS-related liver diseases
diagnosis
超声
ultrasound
acquired immunodeficiency syndrome
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ISSN1008-6358
DOI10.12025/j.issn.1008-6358.2017.20161210

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Summary:目的：探讨获得性免疫缺陷综合征（acquired immunodeficiency syndrome,AIDS）相关性肝脏疾病的超声声像图特征。方法：选择2014年6月至2016年3月某中心超声提示AIDS相关性肝脏疾病,经超声引导下穿刺活检或抽液证实的38例患者的超声声像图,对其特点进行总结。结果：AIDS相关性肝脏疾病主要包括肝脏肿大、肝结核、肝脓肿、肝淋巴瘤、肝细胞肝癌及转移性肝癌。其超声表现与普通患者的表现不同之处主要有：细菌性感染者病灶多发,病灶范围大;淋巴瘤尤其是Burkitt’s淋巴瘤的超声表现更类似于炎症性病变而非肿瘤性病变表现。肝细胞肝癌及转移性肝癌的超声表现与普通患者的表现类似。结论：超声能提示AIDS相关性肝脏疾病,而明确病因及病理诊断可超声引导下穿刺。
Bibliography:31-1794/R
ZHANG Hui1,2, LU Qing2, LIU Jian-jian1 （1. Department of Ultrasound, Shanghai Public Health Clinical Center, Shanghai 201508, China ;2. Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China）
acquired immunodeficiency syndrome; AIDS-related liver diseases; ultrasound; diagnosis
Objective：To explore the ultrasonographic features of acquired immunodeficiency syndrome（AIDS）related liver diseases.Methods：From June 2014 to March 2016,38 patients with AIDS-related liver diseases were enrolled in this retrospective study.All the patients＇ pathology was confirmed by ultrasound guided biopsy.The ultrasonographic features of these diseases were reviewed and analyzed.Results：AIDS-related liver diseases mainly include liver enlargement,hepatic tuberculosis,liver abscess,hepatic lymphoma,hepatocellular carcinoma and metastatic liver cancer.The main differences of ultrasonographic features between AIDS patients and non-AIDS patients were as follows：the bacterial infection was more oft
ISSN:1008-6358
DOI:10.12025/j.issn.1008-6358.2017.20161210