B超联合X线对肺底积液诊断价值的临床研究

Diagnostic Value of the Ultrasound Combined with X-ray Detecting the Infrapulmonary Effusion

目的通过B超联合X线检测发现肺底积液,提高肺底积液的诊断率,减少误诊和漏诊。方法使用线阵型超声诊断仪,取患者坐位背后探查,采取体表十字定位法,不同体位、不同切面观察肺底有无回声区。结果 48例X线不能确定肺底积液,B超均探查发现不同程度的肺底积液,其中单侧型36例,双侧型12例,流动型25例, 包裹型23例,其中合并其他部位包裹型积液6例,合并叶间积液及心包积液7例。结论 B超和X线检查联合应用, 取长补短,可提高肺底积液的诊断率,减少误诊和漏诊。

Objective To observe the diagnostic value of the ultrasound combined with X - ray detecting the infrapulmonary effusion in order to increase the diagnostic rate of the infrapulmonary effusion. Methods The patients＇back were detecting by ultrasound while the patients sitting. Using the body surface cross localization method to detect whether there were anechoic area in the infrapulmonary in different posture and different section. Results 48 cases with infrapulmonary effusion who were not detected by X -ray were diagnosed by ultrasound. 28 cases of them were unilateral type, 9 cases were bilateral type, 16 cases were flow type, 15 cases were wraped type, 7 cases were combined with wraped effusion of other part. Conclusion The ultrasound combined with X - ray can increase the diagnostic rate of the infrapulmonary effusion.