广州医药2025，Vol.56Issue(4)：505-508,536,5.DOI:10.20223/j.cnki.1000-8535.2025.04.010
超声引导下胸膜活检联合胸腔积液检验对结核性胸膜炎的诊断价值
Diagnostic value of ultrasound-guided pleural biopsy combined with pleural effusion examination for tuberculosis pleurisy
摘要
Abstract
Objective To investigate the value of ultrasound-guided pleural biopsy(USPB)combined with pleural effusion test in the diagnosis of tuberculous pleurisy.Methods A total of 96 patients with tuberculous pleurisy(exudative pleurisy)admitted to the Guangzhou Chest Hospital from June 2021 to June 2023 were selected.The accuracy,specificity,and sensitivity of pleural effusion test(including adenosine deaminase and bacterial culture),USPB,and their combination were calculated and analyzed.Results The diagnostic accuracy of pleural effusion was 73.96%and the sensitivity was 72.84%.The diagnostic accuracy of USPB was 85.42%and the sensitivity was 82.71%.The diagnostic accuracy 88.54%and sensitivity 90.12%of USPB combined with pleural effusion test were significantly higher than that of pleural effusion alone(P＜0.05),but there was no significant difference in the diagnostic specificity of pleural effusion,USPB and combination of them(P＞0.05).Conclusions USPB combined with pleural effusion test has high clinical value in the diagnosis of tuberculous pleurisy.关键词
结核性胸膜炎/胸膜活检/介入超声/胸腔积液Key words
tuberculous pleurisy/pleural biopsy/interventional ultrasound/pleural effusion引用本文复制引用
刘文清,吴俊,马文斌..超声引导下胸膜活检联合胸腔积液检验对结核性胸膜炎的诊断价值[J].广州医药,2025,56(4):505-508,536,5.基金项目
广州市医学重点学科(2021-2023)结核病学 （2021-2023）
广州市科技计划项目(2023A03J0539) （2023A03J0539）
