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本文报告了经手术、穿刺病理证实46例脓胸(53个病灶)的B超与X线检查对比结果。B超符合率90.6%,X线为79.3%。＜3cm以下的脓胸病灶B超检出敏感性为81.9%,与X线检查比较(P ＜0.01),差异非常显著;＞3cm以上两者无显著性差异(P＞0.05),提出了本病为分隔型、类实型、混合型三种声像图类型,讨论了B超与X线检查本病的优点和不足。认为两种检查结合有助于脓胸的诊断及鉴别诊断,可减少误诊及漏诊。
This article reports the results of B-ultrasound and X-ray examination of 46 cases of empyema (53 lesions) confirmed by surgery and puncture pathology. B-coincidence rate of 90.6%, X-ray was 79.3%. The sensitivity of B-mode ultrasonography in detecting empyema lesions less than 3 cm was 81.9%, which was significantly different from that of X-ray examination (P <0.01). There was no significant difference (P> 0.05) The disease was divided into three types of stereotypes, real type, mixed type of ultrasound, discussed the B ultrasound and X-ray examination of the advantages and disadvantages of the disease. That the combination of two tests can help empyema diagnosis and differential diagnosis can reduce misdiagnosis and missed diagnosis.