淋巴结活检术在HIV/AIDS合并颈部淋巴结核诊断中的应用

Lymph Node Biopsy in the Diagnosis of HIV/AIDS with Neck Lymph Node Tuberculosis

目的探讨HIV/AIDS合并颈部淋巴结核的临床特点以及淋巴结活检术在HIV/AIDS合并颈部淋巴结核诊断中的应用价值。方法回顾性分析168例颈部淋巴结肿大的艾μ病患者的淋巴结活检组织切片、临床资料、影像资料、T淋巴细胞亚群、切口分泌物细菌涂片及培养。结果经外科手术获得的168例标本,经病理诊断102例淋巴结结核,其中CD4+P<100个/μL组淋巴结核阳性率较其他组别增高(χ2=5.44,<0.05)。168例患者共发生切口感染4例,窦道形成2例,切口分泌物以结核杆菌为主。所有患者均无食管、气管损伤等重大并发症。结论淋巴结活检术是确诊HIV/AIDS合并颈部淋巴结核的主要方法。

Objective Explore HIV/AIDS with neck clinical features of the lymphatic system and lymph node biopsy in the diagnosis of HIV/AIDS with neck lymph node tuberculosis.Methods Retrospective analysis of lymph node biopsy tissue sections of 168 cases of cervical lymph nodes of AIDS patients,clinical data,image data,T lymphocyte subsets,incision secretions bacterial smear and culture.Results 168 specimens obtained by surgery,the pathological diagnosis of 102 patients with lymph node tuberculosis,including CD4+<100 cells/μL lymph node tuberculosis positive rate is higher than the other groups(χ2=5.44,<0.05).168 patients with a total of four cases of wound infection,sinus formation two cases wound secretions to Mycobacterium tuberculosis.Al patients had no major complications of the esophagus,trachea injury.Conclusion Lymph node biopsy is the main method in the diagnosis of HIV/or AIDS with neck lymphatic node tuberculosis.