肋骨超声显像在胸腔积液穿刺定位中的应用价值

Aplication value of ribs ultrasound imaging in the pleural effusion puncture localization

目的探讨肋骨超声显像在胸腔积液穿刺定位中的价值。方法将2005年～2007年在吉安市中心人民医院确诊胸腔积液需行穿刺抽液的患者222例,随机分成试验组和对照组,每一组根据积液最宽深度的不同,分为大量积液组和中量积液组,对照组采取传统的超声检查穿刺定位方法,实验组采取肋骨超声显像指导穿刺定位的方法,比较两种定位方在指导大量胸腔积液和中少量胸腔积液抽液时的准确率和抽液量。结果在大量胸腔积液情况下,两种定位方法的穿刺确率均非常高,无明显差异;而在中少量胸腔积液时,利用肋骨超声显像定位的准确率和成功率明显增高。结论合理利"不利因素"肋骨超声显像,能使胸腔积液穿刺定位操作更有效,更准确,更安全。

Objective to evaluate value of the ultrasound imaging ribs for the operation localizion of pleural effusion puncture. Methods from 2005 to 2007 in our hospital,222 patients with pleural effusion were done thoracecntensis and randomly divided into test and control groups,Each group based on the broadest depth of the fluid was divided into different groups which a large number of fluid and a small amount of fluid group,The control group was taken the mathod of traditional ultrasound puncture localizion.The test group was taken the method of ribs ultrasound imaging to guide the puncture localition. Comparison of two methods to guide the large number of pleural effusion and pleural effusion in a small amount of fluid pumped at time of accuracy and the volume of liquid pumped. Results In a large number of pleural effusion,Two puncture methods of positining accuracy are very high,There was no significant difference,In a small amount of pleural effusion,Use of ultrasound imaging rib positioniong accuracy and the success rate was significantly higher. Conclusions The rational use of the ＂disadvantages＂ ribs ultradsound imaging pleural effusion can puncture position to opreate more effectively,more accurate and safer.