获得性免疫缺陷综合征相关性肝脏疾病的超声诊断

摘要

Objective:To explore the ultrasonographic features of acquired immunodeficiency syndrome(AIDS)related liver diseases.Methods:From June 2014 to March 2016,38 patients with AIDS-related liver diseases were enrolled in this retrospective study.All the patients' pathology was confirmed by ultrasound guided biopsy.The ultrasonographic features of these diseases were reviewed and analyzed.Objective:AIDS-related liver diseases mainly include liver enlargement,hepatic tuberculosis,liver abscess,hepatic lymphoma,hepatocellular carcinoma and metastatic liver cancer.The main differences of ultrasonographic features between AIDS patients and non-AIDS patients were compared with that in non-AIDS patients,and the range of the lesions was larger in AIDS patients.Its ultrasonic performance was different from that of the ordinary patients.The main features were as follows: the bacterial infection was more often multiple,and the range of the lesions was large.The ultrasonographic manifestations of lymphoma,especially Burkitt's lymphoma,were more analogous to inflammatory lesions than neoplastic lesions.However,the ultrasonographic appearances of hepatocellular carcinoma and metastatic liver cancer were similar with those of non-AIDS patients.Conclusions:Ultrasound can indicate the diagnosis of AIDS-related liver diseases,and the etiological and pathological diagnosis should be determined by ultrasound-guided biopsy.%目的:探讨获得性免疫缺陷综合征(acquired immunodeficiency syndrome,AIDS)相关性肝脏疾病的超声声像图特征.方法:选择2014年6月至2016年3月某中心超声提示AIDS相关性肝脏疾病,经超声引导下穿刺活检或抽液证实的38例患者的超声声像图,对其特点进行总结.结果:AIDS相关性肝脏疾病主要包括肝脏肿大、肝结核、肝脓肿、肝淋巴瘤、肝细胞肝癌及转移性肝癌.其超声表现与普通患者的表现不同之处主要有:细菌性感染者病灶多发,病灶范围大;淋巴瘤尤其是Burkitt's淋巴瘤的超声表现更类似于炎症性病变而非肿瘤性病变表现.肝细胞肝癌及转移性肝癌的超声表现与普通患者的表现类似.结论:超声能提示AIDS相关性肝脏疾病,而明确病因及病理诊断可超声引导下穿刺.