摘要
目的探讨艾滋病合并播散性马尔尼菲青霉菌病(PSM)的腹部超声影像学特点。方法比较86例艾滋病合并PSM患者与90例艾滋病非合并PSM患者的腹部超声影像学资料。结果两组患者的年龄、性别差异均无统计学意义(P>0.05)。86例艾滋病合并PSM患者腹部超声检查发现:肝脏肿大46例,占53.49%,脾脏肿大53例,占61.63%,肝脾均肿大32例,占37.21%,腹腔淋巴结肿大15例,占17.44%,腹水8例,占9.30%;而90例艾滋病非合并PSM患者的腹部超声显示:肝脏肿大12例,占13.33%,脾脏肿大25例,占27.78%,肝脾均肿大8例,占8.89%。腹腔淋巴结肿大3例,占3.33%;腹水2例,占2.22%。两组肝脏肿大、脾脏肿大、肝脾均肿大、腹腔淋巴结肿大差异均有统计学意义(P<0.01),腹水差异无统计学意义(P>0.05)。结论肝脾肿大、腹腔淋巴结肿大可能为艾滋病合并PSM特征之一。
Objective To explore the abdominal ultrasound imaging features in AIDS patients combined with disseminated penicilliosis marneffei （PSM）. Methods The abdominal imaging data of 86 AIDS patients co-infected with PSM and 90 AIDS patients without PSM were compared and analyzed. Results There was no significant difference in age and gender between two groups （P 〉0.05）. Among 86 AIDS patients co-infected with PSM, there were 46 hepatomegaly cases （53.49%）, 53 splenomegaly cases （61.63% ） , 32 hepatosplenomegaly cases （37.21% ）, 15 cases of enlarged abdominal lymph nodes（17.44%）, 8 ascites cases（9.30%）. Among 90 AIDS patients without PSM： there were 12 hepatomegaly cases （13.33%）, 25 splenomegaly cases （27.78%）, 8 hepatosplenomegaly cases （8.89%）, 3 case of enlarged abdomihal lymph nodes（3.33%）, 2 aseites cases（2.22% ）. There was significant difference in hepatomegaly, splenomegaly, hepatosplenomegaly and abdominal lymph node enlargement （P〈0.01） between two groups, but no significant difference in ascites （P 〉0.05）.Conclusion Hepatosplenomegaly and abdominal lymph node enlargement might be the features in AIDS patients combined with PSM.
出处
《中国热带医学》
CAS
2014年第6期707-710,共4页
China Tropical Medicine
