结核性胸膜炎患者的B超影像学表现及诊断价值

发布时间：2018-06-09 22:54

本文选题：结核性胸膜炎 + B超　；参考：《中华医院感染学杂志》2017年15期

【摘要】：目的总结并分析结核性胸膜炎患者的B超影像特点,研究B超在结核性胸膜炎诊断中的价值。方法选取2014年3月-2016年3月于医院因疑似结核性胸膜炎接受B超和CT检查的289例患者,将其中确诊为渗出性结核性胸膜炎的共260例患者作为研究对象,分析渗出性结核性胸膜炎的B超图像特点,同时将病理诊断结果作为金标准,对比B超检查和CT检查的特异性和灵敏度,分析B超检查的诊断价值和效益成本。结果 B超检查准确率、特异度、灵敏度、阳性预测价值、阴性预测价值与CT检查结果比较,差异无统计学意义;B超效益成本比显著高于CT,两组方法效益成本比较,差异有统计学意义(P0.05)。结论不同类型的结核性胸膜炎患者,其B超图像特点有一定差异,B超诊断结核性胸膜炎的准确率、特异性、灵敏性均较为理想,且检查价格低、重复性强,具有较高临床实际应用价值。
[Abstract]:Objective to summarize and analyze the characteristics of B-ultrasound in tuberculous pleurisy and to study the value of B-ultrasound in the diagnosis of tuberculous pleurisy. Methods A total of 289 patients with suspected tuberculous pleurisy from March 2014 to March 2016 were examined by B-ultrasonography and CT. 260 of them were diagnosed as exudative tuberculous pleurisy. The characteristics of B-ultrasound images of exudative tuberculous pleurisy were analyzed. At the same time, the pathological diagnosis results were regarded as gold standard, the specificity and sensitivity of B-ultrasonography and CT were compared, and the diagnostic value and cost of B-ultrasonography were analyzed. Results the accuracy, specificity, sensitivity, positive predictive value and negative predictive value of B-ultrasound were not significantly different from those of CT, and the cost-benefit ratio of B-ultrasound was significantly higher than that of CT.There was a significant difference between the two groups. The difference was statistically significant (P 0.05). Conclusion different types of tuberculous pleurisy have different characteristics of B-ultrasound images. The accuracy, specificity and sensitivity of B-mode ultrasonography in the diagnosis of tuberculous pleurisy are ideal, and the price of examination is low and the reproducibility is strong. It has high clinical application value.
【作者单位】：潍坊市益都中心医院超声科;
【分类号】：R445.1;R521.7

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