超声造影在结核性膈肌脓肿诊断中的应用

Application value of contrast-enhanced ultrasound in the diagnosis of tuberculous diaphragmatic muscle abscess

对26例经手术证实的结核性膈肌脓肿患者的超声造影图像进行回顾性分析总结。术前超声造影诊断符合率77％（20／26），其超声造影表现分为3型：均匀增强型（6例）、不均匀增强型（17例）、无增强型（3例）。超声造影能够显示不同类型结核性膈肌脓肿血供特点及其范围，对诊断结核性膈肌脓肿具有重要诊断价值。

Contrast-enhanced ultrasound images of tuberculous diaphragmatic muscle abscess of 26 surgically confirmed patients were retrospectively analyzed. The coincidence rate of preoperative diagnosis was 77%. The contrast-enhanced ultrasound images could be divided into three types of homogeneous, uneven and non-enhancement. Contrast-enhanced ultrasonography could decipher the blood supply characteristics and the different extents of tuberculous diaphragmatic muscle abscess. Thus it has important diagnostic values in the diagnosis of tuberculous diaphragmatic muscle abscess.