胸腔积液的超声影像与临床表现的联系

Ultrasonic Imaging of Thoracic Effusion and its Relationship with Clinical Manifestation

目的:研究胸腔积液的超声影像及图像。方法:对85例胸腔积液患者作常规超声检查。结果:设液体前后径<4cm者为少量积液;中量积液为4cm以上,液体前后经>8cm者为大量积液。临床上少量积液为100ml以下。85例胸腔积液中有41例出现胸腔积液的临床表现。在中量或大量积液中,B超检查出现纤维组织物飘动者(也呈水草状光带回声),常提示恶性肿瘤或结核病患者。结论:超声检查胸腔积液是一种无创快捷及有效的影像技术,可弥补X线不足(如对少量的胸腔积液)得到准确的诊断效果。对临床制定治疗方案,评估愈后具有重要的应用价值。

Objective To study the ultrasonic imaging （and picture）in patients with thoracic effusion. Methods The ultrasonic imaging was performed in 85 patients. A thickness of fluid layer less than 4 cm was regarded as the small amount,more than 4 cm as the moderate amount and more than 8 cm as the large amount,respectively. Thoracic fluid less than 100 ml was regarded as the small amount clinically. Floating fibrous tissue （or waterweed-like echo of lustrous band） detected in patients with moderate or larger amount fluid always suggests the existence of malignant tumor or tuberculosis. Ultrasonic for thoracic fluid examination is a convenient and injury-less and effective image technique,which can make up the deficiency of X-ray and obtain accurate diagnostic effect. Ultrasonic also plays an important role in making therapeutic plan and evaluating the prognosis.