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目的通过对胸壁结核超声特点进行回顾性分析,对照病理结果,分析超声诊断对胸壁结核的应用价值,明确超声检查在胸壁结核诊断中的意义。方法回顾分析2014年1月-2015年6月在新疆维吾尔自治区胸科医院住院患者中筛查经超声检查诊断为胸壁结核患者104例,对照病理结果进行分析总结。结果超声检查能够清楚地显示胸壁结核病灶范围、内部结构特点,回声分布情况,可指导临床进行经皮穿刺的部位、方向和深度及手术范围的确定。胸壁结核的超声表现特点大致可以分为团块型、哑铃型,液化窦道型。结论超声高频探头在筛查胸壁结核的早期诊断、早期治疗、控制病情以及减少并发症发生等诸多方面有参考价值。能为小病灶进行超声引导下小切口清除病灶,也能为外科术前准备和手术方式提供有效参考依据。同时具有无创、廉价、可重复性等许多优点。胸壁结核形成冷性脓肿肿块时通过高频超声进行早期明确诊断也是不可缺少的检查方法之一。
Objective To retrospectively analyze the ultrasonographic features of chest wall tuberculosis and to analyze the application value of ultrasonic diagnosis to chest wall tuberculosis according to the pathological results and clarify the significance of ultrasonic examination in the diagnosis of chest wall tuberculosis. Methods A retrospective analysis of 104 cases diagnosed as chest wall tuberculosis by ultrasonography from January 2014 to June 2015 in the inpatient of thoracic hospital of Xinjiang Uygur Autonomous Region was analyzed and the control pathology results were analyzed and summarized. Results Ultrasound examination can clearly show the extent of chest wall tuberculosis, internal structure characteristics, echo distribution, can guide the clinical percutaneous puncture site, direction and depth and determine the scope of the operation. Ultrasonographic features of chest wall tuberculosis can be roughly divided into clumps, dumbbell type, liquefied sinus type. Conclusion Ultrasound high frequency probe in the screening of early diagnosis of chest wall tuberculosis, early treatment, control of the disease and reduce complications and many other reference value. Small lesions can be guided by a small incision to clear the lesion, but also for surgical preoperative preparation and surgical methods provide an effective reference. At the same time with non-invasive, cheap, repeatable and many other advantages. Chest wall tuberculosis formation of cold abscess mass by early diagnosis of high-frequency ultrasound is also an indispensable method of inspection.