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頁籤選單縮合
題名 | Liver Sonography and Histopathology: Correlations in AIDS Patients=愛滋病人肝臟超音波與組織病理之相互關係 |
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作者 | 林時宜; 王鐘貴; 楊彬彬; 廖學聰; 王朝欣; | 書刊名 | Journal of Medical Ultrasound |
卷期 | 5:3 1997.09[民86.09] |
頁次 | 頁101-104 |
分類號 | 415.944 |
關鍵詞 | 愛滋病; 肝臟超音波; 組織病理; AIDS; Liver biopsy; Liver ultrasonography; Mycobacterium; Cytomegalovirus; |
語文 | 英文(English) |
英文摘要 | Background: The liver is commonly affected in patients with acquired immune deficiency syndrome (AIDS), and ultrasonography of thb liver often shows abnormalities. The purpose of this study was to correlate liver ultrasonography patterns with the underlying histopathologic processes in AIDS patients. Materials and Methods: Eighteen AIDS patients who had had both liver ultrasound (US) and biopsy were enrolled in this study. Results: Only one case showed negative results. The most common abnormality on ultrasonography was heterogenous hyperechoic liver seen in 61% of the patients. In this group, a specific diagnosis could be made in 58% of patients. In four cases of heterogenous hyperechoic liver with hepatosplenomegaly, three (75%) showed mycobacterium infection. In comparison, in eight cases of heterogenous hyperechoic liver without hepatosplenomegaly, only two (25%) had mycobacterium infection. One case of acalculous common bile duct dilatation showed cytomegalovirus infection of the biliary tract. Conclusion: In AIDS patients, abnormality of the liver on ultrasonography is frequently observed and the imaging technique is very useful in specific groups of patients. In those patients with a heterogenous hyperechoic liver, a biopsy should be performed to obtain a specific diagnosis. |
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