超声肺实变的临床应用研究

The Clinical Application Research of Pulmonary Consolidation by Ultrasound

目的对超声诊断在肺实变疾病中的诊断价值进行讨论,同时对肺实变的超声特点进行讨论。方法选取我院2014年6月至2015年5月60例肺实变患者,对其临床资料进行回顾性分析总结,了解肺实变的超声表现。结果超声检查共检出57例,检出率为95.0%;X线检查共检测出20例,检出率为33.33%;CT检查共检测出58例,检出率为96.67%。超声检测与CT检测比较无明显差异,P>0.05;但与X线检查比较存在明显差异,P<0.05。超声检查中有3例患者与实际情况不符,其中有2例脓胸表现为干酪样,另1例为慢性肺纤维空洞型肺结核,此3例患者均为漏诊。CT检测中有2例患者与实际情况不符,此2例患者均为大叶性肺炎病变,同属漏诊。X线检查中有40例患者与实际情况不符,所有患者均被误诊为胸腔积液。结论超声诊断在本病中的敏感度较高,疾病检出率非常高,可以作为肺实变的临床检测方式。

Objective Diagnostic value of ultrasonography in the diagnosis of diseases of pulmonary consolidation discussions, while the ultrasound characteristics of pulmonary consolidation will be discussed. Methods Our hospital, between June 2014 and May 2015, 60 cases of pulmonary consolidation patients were retrospectively analyzed and summarized to understand the performance of ultrasound lung consolidation of the clinical data. Results Ultrasonography were detected 57 cases, the detection rate was 95.0%; X-rays were detected in 20 cases, the detection rate was 33.33%; CT examination of 58 cases were detected, the detection rate was 98.33%. Ultrasonography and CT showed no significant difference in the detection, P〉0.05; but there are obvious differences in X-ray comparison, P〈0.05. Ultrasound discrepancies in three patients with the actual situation, there are two cases of empyema in which the performance of cheesy, another one case of chronic pulmonary tuberculosis hollow fiber, this three patients were missed. CT detection of discrepancies in two patients with the actual situation, the two patients were lobar lesions belong missed. X-ray examination in 40 patients with reality, all patients were misdiagnosed as pleural effusion. Conclusion Higher sensitivity of ultrasound in the diagnosis of this disease, disease detection rate is very high, as a way of clinical testing of lung consolidation.