B超对脾结核的诊断及鉴别诊断效果评价

发布时间：2018-05-06 12:21

本文选题：B超 + 脾结核　；参考：《世界最新医学信息文摘》2016年69期

【摘要】：目的探讨针对脾结核患者在实施疾病诊断以及鉴别过程中,分析B超的临床应用价值。方法选择2014年07月至2016年07月收治的脾结核患者40例作为本次实验研究对象。针对所有患者的脾脏声像图特征实施临床分析,针对所有患者于临床实施B超诊断,对最终检查结果进行分析研究。结果对所有脾结核患者临床实施B超检查后发现,其脾脏厚度在38毫米与50毫米之间。对患者于临床展开抗结核治疗之后,患者的脾脏厚度表现出一定程度的降低,同治疗前比较,表现出显著差异(P0.05)。对患者脾实质内回声的情况进行分析发现,全部出现了低回声结节的情况,并且表现出的大小不等,分布形状为星状。结论对于脾结核患者临床实施B超检查表现出诸多的优点,其操作步骤较为简单,应用范围较为广泛,不会对患者造成任何创伤,价格较为经济合理。对于脾结核患者,针对其影像学特征加以熟练掌握,针对患者的临床资料进行分析,之后展开B超检查,最终可以将脾结核的早期诊断准确率显著提高,通过对患者实施脾脏穿刺活检病理学检查,最终可以获得准确的检测数据。
[Abstract]:Objective to explore the clinical application value of B-ultrasound in the diagnosis and differential diagnosis of splenic tuberculosis. Methods Forty patients with splenic tuberculosis admitted from July 2014 to July 2016 were selected as subjects. Clinical analysis was performed for all patients with splenic sonographic features, and B-ultrasound diagnosis was performed for all patients, and the final examination results were analyzed and studied. Results the thickness of spleen was between 38 mm and 50 mm. After antituberculous therapy, the spleen thickness of the patients decreased to a certain extent, and the difference was significant compared with that before treatment (P 0.05). By analyzing the echo in the splenic parenchyma, it was found that hypoechoic nodule appeared in all cases, and the size of hypoechoic nodule was different, and the shape of distribution was stellate. Conclusion there are many advantages in the clinical application of B-ultrasound in patients with splenic tuberculosis. The procedure is simple, the scope of application is wide, it will not cause any trauma to the patients, and the price is more economical and reasonable. For the patients with splenic tuberculosis, we can master the imaging features skillfully, analyze the clinical data of the patients, and then carry out B-ultrasound examination, which can significantly improve the accuracy of early diagnosis of splenic tuberculosis. Accurate data can be obtained by pathological examination of splenic biopsy.
【作者单位】：江苏省南通市紫琅医院;江苏省南通大学附属医院;
【分类号】：R445.1;R525

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