艾滋病腹部超声的声像图改变  

Ultrasound Changes in AIDS Patients

作　　者：郑颖[1] 孟凡坤[1] 张海英[1] 丁蕾[1] 

机构地区：[1]北京佑安医院超声室,北京市100054

出　　处：《中国超声诊断杂志》2004年第5期358-360,共3页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的　探讨艾滋病 ( AIDS)腹部超声的声像图改变特征。方法　 5 0例艾滋病患者应用超声检查 ,观察肝脏、脾脏、胆囊的超声表现及腹主动脉周围 ,然后进行分析。结果　 AIDS腹部超声的声像图表现为在肝脏、胆囊、脾脏方面均有不同程度的改变及腹腔淋巴结肿大。 32例脾脏有不同程度的肿大 ;37例出现肝脏肿大、肝回声异常 ;2 3例出现胆囊壁改变 ;1 5例有淋巴结肿大。结论　 AIDS患者的肝脏、胆囊、脾脏超声均有不同程度的改变及腹腔淋巴结肿大 ,其中以肝脏、脾脏改变最为明显 ,虽然以上声像图改变无明确特异性 ,但是结合临床病史 。Objective To investigate the features of abdominal ultrasound changes in AIDS patients. Methods The ultrasound manifestations of livers,gallbladders,spleens and abdominal aortal surroundings of 50 AIDS patients were observed and analyzed. Results Different changes could be seen in all the ultrasonograms of the livers,gallbladders spleens,and abdominal lymphadenectasis.There were different degrees of splenomegaly in 32 patients;hepatomegaly and abnormality of liver echoes in 37 patients;Gallbladder wall changes in 23 patients;lymphadenectasis in 15 patients. Conclusions There were different changes in AIDS patients livers,spleens and gallbladders,and abdominal lymphadenectasis.The changes are specially significant in the liver and spleen.Though those changes on the ultrasonograms are not specific,they can provide valuably diagnostic basis for clinical diagnosis,stage treatment as combining with clinical histories.

关 键 词：艾滋病 腹部超声 声像图表现 淋巴结肿大 脾脏肿大 肝脏肿大 

分 类 号：R512.91[医药卫生—内科学] R445.1[医药卫生—临床医学]