35例HIV血清阳性患者颈部淋巴结及腹部超声声像图改变分析

nalysis of sonographic characteristic change on 35 HIV seropositive patients with cervical lymph nodes and abdomen

目的：探讨HIV血清阳性患者颈部淋巴结及腹部超声声像图改变特征。方法：35例HIV血清阳性患者应用超声检查，观察颈部淋巴结及肝脏、脾脏、胆囊、胰腺、肾脏，腹腔淋巴结的超声表现，然后进行分析。结果：HIV血清阳性患者颈部淋巴结及腹部各脏器的超声声像图表现为在颈部淋巴结及肝脏、脾脏、胆囊、肾脏均有不同程度肿大及各种声像图表现的改变。结论：HIV血清阳性患者的颈部淋巴结、肝脏、脾脏、胆囊超声均有不同程度的改变，其中以颈部淋巴结、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，但是颈部淋巴结肿大对艾滋病诊断的敏感性较高，尤其是在合并肝脾肿大的情况下，结合临床病史，早期筛查、及时诊断，为临床治疗提供有价值的诊断依据。

Objective：To investigate the sonographic characteristic change on HIV seropositive patients with cervical lymph nodes and abdomen. Methods： Applied ultrasound to 35 cases of HIV seropositive patients to observe the ultrasound performances, then the performances were analysed. Results： the ultrasound sonogram on HIV seropositive patients＇ervical lymph nodes and abdominal organs showed different degrees of swelling and changes in various sonographie appearances on the lymph nodes of the neck, and on the liver, spleen, gallbladder and kidneys. Conclusion： Different degree of changes were shown on ultrasound performance on HIV seropositive patients＇ervical lymph nodes and abdominal organs, of which, the most changes were shown on the neck lymph nodes, liver and spleen. Although the above -mentioned hasno clear, specific sonographic changes, the sensitivity to diagnosis of AIDS by the appearance of neck＇s lymphadenopathy is high, especially in the case of hepatosplenomegaly, combining with clinical history, early screening and timely diagnosis, that would provide a valuable diagnostic basis for clinical treatments.