腹腔积液的超声分析与临床价值

Ultrasonic analysis and clinical value of peritoneal effusion

目的分析腹腔积液的超声表现及对于初步定性的临床价值。方法回顾性分析126例腹腔积液患者的超声声像图。结果 62例癌性腹腔积液,其中36例有症状,26例为其他原因行超声检查,经细针穿刺检查出癌细胞,诊断符合率为100%;肝、肾源性腹腔积液21例;17例腹腔脏器破裂积液,15例手术确诊,1例追踪随访符合临床诊断,1例误诊为阑尾炎,符合率为94%;胆源性、胰源性积液12例,经手术证实;结核性腹膜炎11例,3例手术证实,7例细针穿刺查出结核杆菌,1例因积液较少而未能明确原因;3例良性肿瘤所致积液,经手术证实。结论超声对腹腔积液的原因分析快捷、简便,能第一时间给临床提供较可靠的信息。

Objective ultrasonographie findings of peritoneal effusion, preliminary qualitative for clinical provide valuable diagnostic information. Methods Retrospectively ultrasonographic analysis of 126 cases of peritoneal effusion. Results 62 cases of malignant peritoneal effusion in 36 cases with symptoms, 26 cases of other reasons for ultrasonic inspection of a, by fine needle aspiration examination of cancer cells, the diagnostic accordance rate was 100%; 21 cases of liver, kidney of peritoneal effusion; 17 cases of abdominal viscera rupture effusion, 15 cases were confirmed by operation, 1 cases were followed up with clinical diagnosis, 1 cases were misdiagnosed as appendicitis, coincidence rate was 94%; 12 cases of biliary, pancreatic fluid, confn＇med by operation; 11 cases of tuberculous peritonitis, 3 cases were confirmed by operation, 7 eases of fine needle aspiration detected Mycobacterium tuberculosis, 1 cases with effusion less failed to state the reasons; 3 cases of benign tumors induced effusion, confmned by operation. Conclusion the analysis of the causes of ultrasound on peritoneal effusion can give clinical provide valuable diagnostic information, is a simple, fast, practical examination method.