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目的探讨超声引导穿刺活检(UGNB)在艾滋病(AIDS)相关疾病诊断中的应用价值。方法 2012年6月至2014年6月,根据临床医师要求,由介入超声医师对AIDS并发各种机会性感染和肿瘤的病人完成穿刺活检操作,对这些病人不同脏器或部位的病变实施UGNB,并送病理组织学及免疫组织化学检查。结果共有216例病人接受了UGNB,穿刺活检总成功率为98.1%(212例),失败率为1.9%(4例),术后并发症发生率为2.3%(5例)。经过UGNB绝大多数病例得到明确诊断;参与UGNB的医务人员无一例发生职业暴露感染。结论对AIDS并发各种机会性感染或肿瘤的病人实施UGNB,安全简便,成功率高,术后并发症少。UGNB对AIDS相关疾病的早期定性病理学诊断具有重要意义和临床应用价值。
Objective To investigate the value of UGNB in the diagnosis of AIDS-related diseases. Methods From June 2012 to June 2014, according to the requirements of clinicians, the biopsy operation was completed by interventional ultrasound physicians on patients with AIDS complicated with opportunistic infections and tumors, UGNB was performed on the lesions of different organs or parts of these patients, And sent to histopathology and immunohistochemistry. Results A total of 216 patients underwent UGNB. The biopsy rate was 98.1% (212 patients), the failure rate was 1.9% (4 patients) and the postoperative complication rate was 2.3% (5 patients). After the vast majority of UGNB cases have been diagnosed; no case of medical staff involved in UGNB occupational exposure to infection. Conclusions The implementation of UGNB in patients with AIDS complicated with various opportunistic infections or tumors is safe and easy with high success rate and few postoperative complications. UGNB for AIDS-related diseases early qualitative and pathological diagnosis of great significance and clinical value.