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超声学诊断结核性局限性胸腔积液临床分析

时间:2017-09-09 21:00:08来源:www.xielunwen.net 作者:admin 点击: 74 次
【关键词】结核性;局限性;胸腔积液 [摘要]目的:少量结核性局限性胸腔积液用超声检查,准确性极高,腔内结构、回声特征、范围及与周围关系的诊断分析。方法:对我院门诊及住院病人结核性局限性胸腔积液360例,使用GE-LOGQ400型超声诊断仪进行超声检查。结果:其中男201例,占55.8%;女159例,占44.2%,患者以青壮年居多。包裹性胸腔积液155例,占43.1%;肺底积液

【关键词】  结核性;局限性;胸腔积液

  [摘  要] 目的:少量结核性局限性胸腔积液用超声检查,准确性极高,腔内结构、回声特征、范围及与周围关系的诊断分析。方法:对我院门诊及住院病人结核性局限性胸腔积液360例,使用GE-LOGQ400型超声诊断仪进行超声检查。结果:其中男201例,占55.8%;女159例,占44.2%,患者以青壮年居多。包裹性胸腔积液155例,占43.1%;肺底积液126例,占35%;肺叶间积液50例,占13.9%,其他29例,占8.1%。以上两者或三者并存少见。发生于右侧胸腔积液者多于左侧,患者均经2次~7次超声复查。结论:超声诊断结核性局限性胸腔积液在影像检查中优于其他影像检查,内部条索状、蜂窝状及分隔回声较清晰,胸膜肥厚及粘连程度易于观察,患者无痛苦且诊断准确性高。

  [关键词] 结核性;局限性;胸腔积液

  Clinical Analysis of Ultrasonic Tubercle Diagnosis Localization
 Chest Accumulates the Liquid

  Abstract:Objective A little amount tubercle localization thorax accumulates the liquid uses the super a check,the accuracy is very high,thorax inside construction,echo characteristic,scope and with around the diagnosis analysis that relate to.Methods Accumulate the 360 examples:liquid to our hospital outpatient service and inpatient tubercle localization chests,a super a diagnosis instrument proceeds the super a check.Results Among them male 201 example,occupy 55.8%;159 examples:woman,occupy 44.2%,the sufferer is known as the majority of the youth prime of life.The package chest accumulates the 155 examples:liquid,occupying 43.1%;The lung bottom accumulates the 126 examples: liquid,occupying 35%;The lobe of lung accumulates the 50 examples: liquid,occupying 13.9%,other 29 example,occupy 8.1%.Above both or three keep both seldom seen.The occurrence accumulates the liquid in the right side chest precious sight more left side,sufferer all through 2~7 times super voices in~s reply to check.Conclusion The super a diagnosis tubercle localization chest accumulates the liquid in image check the better than other image checks,internal a form,beehive form and box off the echo clearer,the pluera is fatty and thick and glue to connect the degree apts to observe,the sufferer has no pain and sufferings and examines a patient the accuracy high.

  Key words:Tubercle;Localization;The chest accumulates the liquid

    近年来肺结核发病率明显升高,多数结核性胸腔积液经抽液、抗痨治疗可使胸腔积液消失而临床治愈,但仍有部分病人虽经反复抽液有效抗痨不能控制渗出液,形成结核性局限性胸腔积液,但是X线及CT难以明确诊断,本文用超声检查,得到了明确诊断,现将用超声检查情况汇报如下。

  1  资料与方法

  1.1  临床资料 

  360例结核性局限性胸腔积液患者,均来源于我院1997年1月至2005年9月门诊及住院病人,男201例,女159例,年龄在8岁~88岁之间,平均年龄47.5岁。

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