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目的 :提高结核性腹膜炎的超声诊断水平。材料和方法 :用低频 (3 5MHz)和高频 (7 0或 7 5～ 10MHz)超声检查本病 2 9例 ,同时进行肠系声学造影 2 3例。病例均经证实。结果 :超声诊断正确率为 89 7% ,误诊 3例。超声表现为腹水(82 8% ) ,壁层腹膜弥漫性增厚 (89 7% ) ,脏层腹膜、网膜增厚并肠袢固定 (82 8% ) ,干酪坏死物及脓肿 (41 4% ) ,淋巴结肿大 (5 5 2 % ) ,其中以壁层腹膜所见具有特征性。肠系声学造影显示肠曲团聚粘连 18例、肠道结核 2例。结论 :低频与高频超声结合使用加肠系声学造影是诊断结核性腹膜炎较为理想的手段
Objective: To improve the level of ultrasonic diagnosis of tuberculous peritonitis. MATERIALS AND METHODS: 29 cases of this disease were examined by low frequency (35MHz) and high frequency (70 or 75 ~ 10MHz) ultrasonography, and 23 cases of intestinal acoustography were performed at the same time. All cases have been confirmed. Results: The correct rate of ultrasound diagnosis was 89.7% and 3 cases were misdiagnosed. Ultrasound showed ascites (82.8%), parietal peritoneal diffuse thickening (89.7%), visceral peritoneum, omentum thickening and intestinal obstruction (82.8%), cheese necrosis and abscess (41.4% ), Swollen lymph nodes (552%), of which the parietal peritoneum was found characteristic. Intestinal angiography showed intestinal polyglutination in 18 cases of intestinal tuberculosis in 2 cases. Conclusion: Low-frequency and high-frequency ultrasound in combination with the use of intestinal ultrasound is the diagnosis of tuberculous peritonitis is an ideal means