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目的:探讨高低频超声联合应用对结核性腹膜炎的诊断价值,积累超声诊断该病的经验。方法:分析我院经实验室检查、抗结核治疗随访、腹膜穿刺活检等方法证实的38例结核性腹膜炎的超声图像。结果:38例结核性腹膜炎超声诊断符合率为86.8%。结核性腹膜炎超声表现复杂,早期无特异性表现,大部分病例出现腹水、腹膜及大网膜片状增厚、腹腔淋巴结肿大等表现时,结合其他检查可明确诊断。结论:高低频超声联合应用对诊断结核性腹膜炎具有重要价值,同时结合其他检查,多能做出正确诊断。
Objective: To investigate the diagnostic value of combined use of high and low frequency ultrasound in tuberculous peritonitis and to accumulate the experience of ultrasonic diagnosis of the disease. Methods: Analysis of 38 cases of tuberculous peritonitis in our hospital after laboratory examination, follow-up of anti-TB treatment, peritoneal biopsy and other methods. Results: The coincidence rate of ultrasound diagnosis of 38 cases of tuberculous peritonitis was 86.8%. Tuberculous peritonitis complicated by ultrasound, early non-specific performance, most cases of ascites, peritoneal and omental thickening, abdominal lymph nodes and other performance, combined with other tests can confirm the diagnosis. Conclusion: The combined application of high and low frequency ultrasound is of great value in the diagnosis of tuberculous peritonitis. Combined with other tests, we can make the correct diagnosis.