摘要
Abstract
Objective Analyzing the application value on diagnosis and puncturing localization to tuberculous pleural ef usion by ultrasound. Methods Reviewed and explore the puncturing results on 683 cases of pleural ef usion diagnosed and sited by ultrasound from 2009, Jan to 2013, May in our hospital. Results There were 384 free pleural ef usion cases, 164 encapsulated ef usion cases, and 135 multilocular ef usion cases in the group. In that 683 pleural ef usion group, 587 tuberculous pleura ef usion cases were pointed out which had 531 confirmed cases. The ultrasonic diagnostic accuracy rate was 90.4 %( 531/587), and the rate of misdiagnosis was 5.1%(30/587) .In contrast, between of them had statistic significant dif erence, and P<0.05.The success rate to more fluid volume, encapsulated fluid and multi-room ef usions by ultrasound positioning puncture reached to 100%, with no serious complications. Conclusion The ultrasonic diagnose possess a big value to tuberculous pleura ef usion were caused by tuberculous pleurisy which had a high accuracy rate. The ultrasound positioning puncture has a high success rate and less complication to that more fluid volume and encapsulated fluid patients. It also has a high value to the less fluid volume and encapsulated fluid in special site patients by real-time ultrasonic diagnostic puncturing.关键词
结核性胸腔积液/超声诊断/穿刺定位Key words
Tuberculous pleura effusion ultrasound/ultrasonic diagnose/Puncturing localization
