生命科学仪器2023，Vol.21Issue(6)：61-64,4.DOI:10.11967/2023211212
超声检查在肺结核致胸腔积液中的诊断价值研究
The diagnostic value of ultrasonography in pleural effusion caused by pulmonary tuberculosis
摘要
Abstract
Objective:To investigate the value of ultrasound in the diagnosis and treatment of pleural effusion caused by pulmonary tuberculosis.Methods:97 patients with pulmonary tuberculosis treated in the Third People's Hospital of Langfang City from January 2022 to June 2023 were selected as the study objects.Ultrasound and X-ray exami-nation were used to determine whether there was pleural effusion,and the results of thoracic puncture pathology were used as the gold standard.The diagnostic efficacy of ultrasound and X-ray on pleural effusion caused by pul-monary tuberculosis,the detection rate of different pleural effusion types and the ultrasonic signs of pleural effusion were collected.Results:The sensitivity and specificity of ultrasound in the diagnosis of pleural effusion caused by pulmonary tuberculosis were 96.55%and 97.44%.The sensitivity and specificity of CT in the diagnosis of pleural effusion caused by pulmonary tuberculosis were 77.59%and 71.79%.There was no significant difference in the proportion of pleural effusion type Ⅰ,type Ⅱ,type ⅢA,type ⅢB,type ⅢC and type Ⅳ between ultrasound and X-ray patients(P>0.05).There was statistical significance in the proportion of patients with or without pleural effusion with uneven pleural thickening,pleural thickness<5mm,spot or mass in the echoless and echoless areas(P<0.05).Among the 58 patients,32 were effective,21 were effective,and 5 were ineffective,with an effective rate of 91.38%(53/58).Conclusion:Ultrasonography has significant diagnostic value and high diagnostic efficiency in pulmonary tuberculosis induced pleural effusion,and can guide clinical thoracopuncture and treatment.关键词
肺结核/胸腔积液/超声检查/诊断/治疗/肺部疾病/X线Key words
Pulmonary tuberculosis/Pleural effusion/Ultrasound examination/Diagnosis/Treatment/Lung dis-ease/X-ray分类
医药卫生引用本文复制引用
宋香菊,赵丹,任少杰,钱璐,姜菊..超声检查在肺结核致胸腔积液中的诊断价值研究[J].生命科学仪器,2023,21(6):61-64,4.基金项目
2022年廊坊市科学技术自筹经费项目(2022013141) （2022013141）
