超声引导下穿刺活检对艾滋病合并恶性淋巴瘤的诊断价值
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摘要
目的:探讨超声引导下颈部淋巴结穿刺活检对艾滋病合并恶性淋巴瘤的诊断价值。方法:42例临床疑似合并恶性淋巴瘤的艾滋病患者同时行颈部淋巴结超声引导下穿刺活检及手术切除病理检查,对2种病理检查结果进行分析。结果:42例中,超声引导下颈部淋巴结穿刺活检的取材满意率为95.24%,对恶性淋巴瘤诊断的敏感度、特异度和准确率分别为90.6%、100.0%、92.9%。结论:超声引导下淋巴结穿刺活检诊断艾滋病合并恶性淋巴瘤的准确度高,并发症低,操作安全快捷,是临床诊断艾滋病合并恶性淋巴瘤的有效方法。
Objective:To investigate the diagnostic value of ultrasound guided cervical lymph node biopsy in the diagnosis of AIDS with malignant lymphoma. Methods:Forty-two cases of AIDS patients with suspected malignant lymphoma underwent ultrasound guided cervical lymph node biopsy and pathological examination after surgical resection,and the results of the two methods were analyzed. Results:In 42 patients with AIDS,the rate of satisfaction with the ultrasound guided cervical lymph node biopsy was 95.24%,and the sensitivity,specificity and accuracy of the diagnosis of malignant lymphoma were 90.6%,100%,and 92.9%,respectively. Conclusion:Ultrasound guided lymph node biopsy is an effective and safe method for clinical diagnosis of AIDS with malignant lymphoma with high accuracy and low complications.
Objective:To investigate the diagnostic value of ultrasound guided cervical lymph node biopsy in the diagnosis of AIDS with malignant lymphoma. Methods:Forty-two cases of AIDS patients with suspected malignant lymphoma underwent ultrasound guided cervical lymph node biopsy and pathological examination after surgical resection,and the results of the two methods were analyzed. Results:In 42 patients with AIDS,the rate of satisfaction with the ultrasound guided cervical lymph node biopsy was 95.24%,and the sensitivity,specificity and accuracy of the diagnosis of malignant lymphoma were 90.6%,100%,and 92.9%,respectively. Conclusion:Ultrasound guided lymph node biopsy is an effective and safe method for clinical diagnosis of AIDS with malignant lymphoma with high accuracy and low complications.
引文
[1]朱晓红.艾滋病患者合并机会性感染的临床特点和预后分析[J].中国继续医学教育,2017,9(17):106-107.
[2]李佳,王俊杰,周郁,等.艾滋病病人机会性感染救治保障机制研究[J].中国艾滋病性病,2013,19(6):441-444.
[3]王钧,陈亮,王健.超声引导下浅表淋巴结肿大穿刺活检的临床价值[J].中国实用医药,2012,7(35):93.
[4]彭文伟.传染病学(第六版)[M].北京:人民卫生出版社,2004:96.
[5] Ambinder RF,Bhatia K,Martinez-Maza O,et al. Cancer Biomarkers in HIV patients[J]. Curr opin HIV AIDS,2010,5:531-537.
[6] Knowles DM. Etiology and pathogenesis of AIDS-related non--Hodgkin’s lymphoma[J]. Hematol Oncol Clin Norh Am,1996,10:1081-1109.
[7] Besson C,Goubar A,Gabarre J,et al. Changes in AIDS-related lymphoma since the era of highly active antiretroviral therapy[J].Blood,2001,98:2339-2344.
[8]叶任高.内科学(第六版)[M].北京:人民卫生出版社,2001:640-648.
[9] Cannon M,Cesarman E. Kaposi’s sarcoma-associated herpes virus and acquired immunodeficiency syndrome-related malignancy[J].Seminars in onclolgy,2000,27:409-419.
[10]高祖美,杨明强.保山市2010—2015年间185例HIV阳性结核病患者抗结核治疗影响因素分析[J].中国保健营养,2017,27(9):341-343.
[11]吴碧君,张舒眉.艾滋病患者颈部包块的超声表现[J].中国医学影像学杂志,2009,17(4):249-250.
[12] Gani MS,Shafee AM,soliman IY. Ultrasound guided percutaneous fine needle aspiration biopsy automated needle core biopsyof abdominal lesions:effect on management and cost effectiveness[J]. Ann Afr Med,2011,10:133-138.
[13]熊雅玲,郝晶,王辉,等.超声引导下经颈内静脉淋巴结穿刺细胞学检查[J].中国介入影像与治疗学,2009,6(6):594-595.
[14]韩峰,李安华,邹如海,等.超声引导颈部淋巴结活检的比较[J].中国超声医学杂志,2008,24(10):888-890.
[15]汪伟,杨涛,唐英,等.超声引导下浅表淋巴结穿刺自动活检的应用价值[J].解放军医学杂志,2000,25(2):149-151.
[16]朱建元,张超学,李俊.超声引导下颈部淋巴结细针穿刺细胞学检查的准确性[J].中国超声诊断杂志,2006,7(5):326-328.
[2]李佳,王俊杰,周郁,等.艾滋病病人机会性感染救治保障机制研究[J].中国艾滋病性病,2013,19(6):441-444.
[3]王钧,陈亮,王健.超声引导下浅表淋巴结肿大穿刺活检的临床价值[J].中国实用医药,2012,7(35):93.
[4]彭文伟.传染病学(第六版)[M].北京:人民卫生出版社,2004:96.
[5] Ambinder RF,Bhatia K,Martinez-Maza O,et al. Cancer Biomarkers in HIV patients[J]. Curr opin HIV AIDS,2010,5:531-537.
[6] Knowles DM. Etiology and pathogenesis of AIDS-related non--Hodgkin’s lymphoma[J]. Hematol Oncol Clin Norh Am,1996,10:1081-1109.
[7] Besson C,Goubar A,Gabarre J,et al. Changes in AIDS-related lymphoma since the era of highly active antiretroviral therapy[J].Blood,2001,98:2339-2344.
[8]叶任高.内科学(第六版)[M].北京:人民卫生出版社,2001:640-648.
[9] Cannon M,Cesarman E. Kaposi’s sarcoma-associated herpes virus and acquired immunodeficiency syndrome-related malignancy[J].Seminars in onclolgy,2000,27:409-419.
[10]高祖美,杨明强.保山市2010—2015年间185例HIV阳性结核病患者抗结核治疗影响因素分析[J].中国保健营养,2017,27(9):341-343.
[11]吴碧君,张舒眉.艾滋病患者颈部包块的超声表现[J].中国医学影像学杂志,2009,17(4):249-250.
[12] Gani MS,Shafee AM,soliman IY. Ultrasound guided percutaneous fine needle aspiration biopsy automated needle core biopsyof abdominal lesions:effect on management and cost effectiveness[J]. Ann Afr Med,2011,10:133-138.
[13]熊雅玲,郝晶,王辉,等.超声引导下经颈内静脉淋巴结穿刺细胞学检查[J].中国介入影像与治疗学,2009,6(6):594-595.
[14]韩峰,李安华,邹如海,等.超声引导颈部淋巴结活检的比较[J].中国超声医学杂志,2008,24(10):888-890.
[15]汪伟,杨涛,唐英,等.超声引导下浅表淋巴结穿刺自动活检的应用价值[J].解放军医学杂志,2000,25(2):149-151.
[16]朱建元,张超学,李俊.超声引导下颈部淋巴结细针穿刺细胞学检查的准确性[J].中国超声诊断杂志,2006,7(5):326-328.