艾滋病合并播散性马尔尼菲青霉菌病腹部超声表现分析  

Abdominal US Findings of Disseminated Penicilliosis Marneffei in Patients with Acquired Immunodeficiency Syndrome

作　　者：吴碧君[1] 汤庆[2] 周爱群[1] 梁惠颖[1] 

机构地区：[1]广州市第八人民医院超声科,广州市510060 [2]广州医学院第一附属医院超声科

出　　处：《中国超声医学杂志》2011年第3期246-248,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨艾滋病(AIDS)合并播散性马尔尼菲青霉菌病(PSM)的腹部超声表现。方法回顾性分析141例AIDS合并播散性PSM的腹部超声图像特征。结果 141例AIDS合并播散性PSM腹部超声表现为腹部淋巴结肿大98例(69.50%);肝脾肿大96例(68.08%);肝脾内局灶性、弥漫性病变共1 5例(10.63%),其中肝脾内弥漫性病变3例,图像非常有特征性,呈"云雾状";胰腺炎4例(2.83%);腹水12例(8.51%)。结论 AIDS合并播散性PSM时,腹部常多脏器受累,腹膜后及肠系膜淋巴结肿大、肝脾肿大、肝脾实质病变是最常见的腹部超声表现。Objective To investigate abdominal US findings of Disseminated Penicilliosis Marneffei in patients with AIDS. Methods Abdominal US imaging of Disseminated Penicilliosis Marneffei in 141 patients with AIDS were retrospective： ly analyzed. Results Enlargement of abdominal lymph nodes were observed in 98（69.50%）cases. Hepatosplenomegaly was observed in 96（68.08%）eases. Focal or diffuse lesions in the liver and spleen were observed in 15（10.63%） cases. 3 case of diffuse lesions in the liver and spleen whose image was very specific ＂cloudy＂. Pancreatitis was observed in 4 cases（2.83%）. Ascites was observed in 12 case（8.51%）. Conclusions Disseminated Penicilliosis Mameffei in patients with AIDS usually were involved multiple org＇ans in abdomem. Enlargement of abdominal lymph nodes, hepatosplenomegaly, parenehymal lesions in the liver and spleen are the most common US findings in abdomem.

关 键 词：艾滋病 马尔尼菲青霉病 超声表现 

分 类 号：R445.1[医药卫生—影像医学与核医学] R512.91[医药卫生—诊断学]