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目的探讨应用超声诊断及超声引导下治疗在胸腔积液诊治中的价值。方法回顾性分析291例胸腔积液患者超声声像图特点,并与临床诊断结果进行对照分析。结果结核性胸膜炎236例,超声提示198例,符合率83.9%;肺炎9例,超声提示5例;肿瘤性16例,超声提示9例;肝硬化15例,超声提示15例,全部符合;肾综合征出血热8例,超声提示8例,全部符合;充血性心力衰竭4例,超声提示3例;淋巴管阻塞乳糜性胸水2例,超声检查提示2例,全部符合。结论超声可以明确诊断胸腔积液,并在病因诊断及穿刺引流治疗上具有重要临床价值。
Objective To explore the value of ultrasonic diagnosis and ultrasound-guided treatment in the diagnosis and treatment of pleural effusion. Methods The echographic features of 291 cases of pleural effusion were retrospectively analyzed and compared with the results of clinical diagnosis. Results Tuberculous pleurisy in 236 cases, 198 cases of ultrasound prompted, the coincidence rate of 83.9%; pneumonia in 9 cases, 5 cases of ultrasound; tumor in 16 cases, 9 cases of ultrasound; cirrhosis in 15 cases, 15 cases of ultrasound, all in line; Hemorrhagic fever in 8 cases, 8 cases showed ultrasound, all in line; congestive heart failure in 4 cases, 3 cases of ultrasound; lymphatic obstruction in 2 cases of chylous pleural effusion, ultrasound showed 2 cases, all in line. Conclusion Ultrasound can be a clear diagnosis of pleural effusion, and in the diagnosis of etiology and puncture and drainage treatment has important clinical value.