胸部疾病的超声表现分析

Ultrasound Findings with Chest Diseases

目的 探讨超声在某些疑难性胸部疾患的诊断价值。方法 98位患胸部疾病的患者 ,经 X-线胸片及 CT未能明确诊断 ,采用二维超声和彩色多普勒超声检查 ,进行综合诊断。结果 胸膜病变 4 6例 ,超声检出率98% ,肺内肿块 2 7例 ,超声检出率 6 3% ,炎症性肺实变 17例 ,超声检出率 70 .6 % ,纵隔病变 3例 ,超声检出率10 0 % ,膈下病变 4例 ,超声检出率 10 0 % ,膈肌麻痹 1例 ,超声检出率 10 0 %。结论 超声结合 X-线胸片及 CT可提高某些胸部疾病的诊断正确率。

Objective To evaluate the clinical value of ultrasound diagnosis in the patients with chest diseases.Methods A total of 98 cases with chest diseases diagnosed by the combination of chest radiogram, CT and ultrasound scanning were presented. Results The positive diagnostic rates were as follows: in the 46 cases with pleural diseases, was 98%;in masses of lung,27 cases (63%);in consolidation of pulmonary inflammation,17 cases (70.6%);in mediastinal diseases,3 cases (100%);in subdiaphragmatic diseases,4 cases (100%);in phrenoparalysis,1 case (100%). Conclusions Ultrasound combined with radiograms and CT can raise the diagnostic accuracy rate for the chest diseases.