B型超声和胸片对结核性胸膜炎的影像学对比观察

B-mode Ultrasound and Chest X-ray Imaging of Tuberculous Pleurisy Contrastive Observation

目的探讨B型超声和胸片对核性胸膜炎影像学诊断的对比分析。方法选择300例结核性胸膜炎患者的病历资料进行回顾性分析,观察两种方法对结核性胸膜炎的诊断情况。结果 B超诊断渗出性胸膜炎的诊断率为76.8%,干性胸膜炎的诊断率为23.2%;胸部平片诊断渗出性胸摸炎的诊断率为37.0%,干性胸膜炎的诊断率为60.8%。B超诊断结核性渗出性胸膜炎的诊断率高于胸部平片,诊断干性胸膜炎的诊断率低于胸部平片,两组比较差异有显著性意义(P<0.01)。结论 B型超声和胸片对结核性胸膜炎中的渗出性胸膜炎和干性胸膜炎的诊断各有侧重,应结合临床合理运用。

Objective To investigate the B-mode ultrasound and chest X-ray imaging of nuclear pleurisy diagnosis compared.Methods 300 cases of tuberculous pleurisy patients were retrospectively analyzed medical records,observation of two methods for the diagnosis of tuberculous pleurisy situation.Results B ultrasound diagnosis of exudative pleurisy diagnosis was 76.8%,the diagnosis of dry pleurisy was 23.2%;chest plain film diagnosis of thoracic effusion rate touched 37.0% in the diagnosis of inflammation,the diagnosis rate of dry pleurisy 60.8%.B ultrasound diagnosis of tuberculous exudative pleurisy diagnosis was higher than chest plain film diagnosis of dry pleurisy diagnosis was lower than chest plain film,the difference was significant（P0.01）.Conclusion B-mode ultrasound and chest X-ray of tuberculous pleurisy in exudative pleurisy dry pleurisy and have focused on the diagnosis,should be combined with reasonable clinical use.