超声检查在结核性腹膜炎中的临床诊断分析

发布时间：2018-05-03 09:46

本文选题：结核性腹膜炎 + 彩色多普勒超声　；参考：《中华医院感染学杂志》2015年08期

【摘要】：目的分析结核性腹膜炎彩色多普勒超声声像特点,提高彩色多普勒超声诊断结核性腹膜炎水平。方法选择2005年2月-2014年2月收治的经临床确诊为结核性腹膜炎198例患者为研究对象,总结患者临床症状,统计彩色多普勒超声诊断结核性腹膜炎的临床符合情况,分析结核性腹膜炎的彩色多普勒超声声像特点。结果结核性腹膜炎患者主要表现为发热为主,共161例占81.3%;入选结核性腹膜炎患者中超声诊断正确病例176例,诊断符合率为88.9%;漏诊和误诊22例,占11.1%;声像图主要表现为腹水型、腹膜和肠壁增厚型、团块型和淋巴结肿大型。结论彩色多普勒超声用于诊断结核性腹膜炎临床诊断符合率高,具有较好的敏感度和特异性,可作为结核性腹膜炎临床诊断首选方法。
[Abstract]:Objective to analyze the characteristics of color Doppler ultrasonography of tuberculous peritonitis and to improve the diagnosis of tuberculous peritonitis by color Doppler ultrasound. Methods 198 patients with tuberculous peritonitis confirmed by clinical diagnosis in February -2014 in February 2005 were selected as the research object, and the clinical symptoms were summarized and the color Doppler ultrasound was used to diagnose tuberculosis. The color Doppler ultrasound features of tuberculous peritonitis were analyzed. Results the main manifestations of tuberculous peritonitis were fever, 161 cases accounted for 81.3%; 176 cases were diagnosed correctly in the patients with tuberculous peritonitis, the diagnostic coincidence rate was 88.9%; missed diagnosis and misdiagnosis 22 cases, accounting for 11.1%. It should be manifested as ascites, peritoneum and intestinal wall thickening, lump type and lymph node swelling. Conclusion color Doppler ultrasound has high coincidence rate in diagnosis of tuberculous peritonitis and has good sensitivity and specificity. It can be used as the first choice for clinical diagnosis of tuberculous peritonitis.

【作者单位】：桐乡市第二人民医院超声科;
【基金】：浙江省医药卫生研究基金资助项目(2013KYA200)
【分类号】：R445.1;R526

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