超声引导下穿刺活检在艾滋病患者合并颈部淋巴结肿大的临床应用

Clinical application of ultrasound-guided percutaneous biopsy in AIDS patients associated with cervical lymph node lesions

目的探讨应用超声引导穿刺活检在艾滋病患者合并颈部淋巴结病变的临床应用价值。方法回顾性分析2012年1月—2017年9月超声引导下穿刺颈部淋巴结肿大的29例艾滋病患者的诊断率及并发症发生情况。结果本组穿刺活检淋巴结大小为2.2～8.0 cm,平均(4.6±1.7) cm,取材满意率为93.1%(27/29), 27例取材满意的患者中,良性病变12例,包括结核8例,腮腺多形性腺瘤2例,淋巴结感染2例;恶性病变15例,包括卡波西肉瘤3例,淋巴瘤12例;并发症发生率6.9%(2/29),2例发生穿刺后出血。结论超声引导穿刺艾滋病患者颈部肿大淋巴结具有实时、创伤小、诊断性高、并发症少等优点,同时可减少医务人员职业暴露,具有一定的临床价值。

Objective To explore the clinical value of ultrasound guided puncture biopsy in AIDS patients associatedwith cervical lymph node lesions. Methods Clinical data（diagnostic rate and complication） about 29 AIDS patients withassociated with cervical lymph node lesions who underwent ultrasound guided puncture biopsy from January 2012 to September2017. Results The lymph node size ranged from 2.2 cm to 8 cm, average（4.6±1.7） cm, in this group, and the samplingsatisfaction rat was 93.1%（27/29）. 12 patients were benign lesions among the 27 cases, including 8 cases of tuberculosis, 2 cases of parotid pleomorphic adenoma and 2 cases of lymph node infection; 15 patients were malignant lesions, including 3 cases of Kaposi＇s sarcoma and 12 cases of lymphoma. The incidence of complications was 6.9%（2/29）. Two patients wereoccurred hemorrhage after biopsy. Conclusion Ultrasound guided puncture biopsy in AIDS patients associated with cervicallymph node lesions has the advantage of real-time, minimal invasiveness,high diagnostic rate and less complications, is thusworthy of application in clinical practice. Meantime, it can reduce the occupational exposures of the doctors.