AIDS合并症的经皮介入治疗

目的探讨经皮介入技术在艾滋病（AIDS）伴发合并症患者中的临床应用价值。方法对21例AIDS伴发合并症患者,采用CT引导下经皮穿刺活检或置管引流术,观察介入诊断的正确率、临床疗效及术后并发症。结果所有患者均获得操作成功。14例患者接受16次穿刺活检,11例（13例次）获得诊断,诊断率81.25%。6例脓肿及囊肿引流,病灶完全消失3例,病灶缩小2例,1例无明显变化,仍持续保留导管引流。1例脾栓塞面积约50%,术后血小板升高,出现暂时性肝功能降低。所有患者均无并发感染及其他严重并发症。未发生医护人员暴露感染。结论介入技术在AIDS患者合并症的临床应用是安全可行的,但应注意严格预防暴露感染。

Percutaneous interventional techniques for the treatment of complications of AIDS

Objective To observe clinical application value of percutaneous interventional techniques for the treatment of complications of AIDS. Methods Twenty-one AIDS patients with complications were enrolled. CT guided percutaneous needle biopsy and drainage were conducted, and the correct rate of diagnosis, clinical curative effect and complications post-interventional therapy were observed. Results The operations of all patients executed successfully. Fourteen patients underwent 16 times biopsy, 11 were correctly diagnosed, the diagnostic accordance rate was 81.25%. Drainage was performed in 6 patients with abscess or cystis, then the lesions completely disappeared in 3, deflated in 2, while the rest one needed continously draining. Partial splenic embolization (50%) was performed in 1 patient, and after operation platelet content increased, while hepatic function decreased temporality. No complicated infection and other severe complications occurred. Conclusion Percutaneous interventional techniques for the treatment of complications of AIDS are safe and feasible. Medical staffs should be careful to exposition of HIV infection.