结核分枝杆菌腹膜炎患者超声诊断的分析

发布时间：2018-08-19 12:43

【摘要】：目的探讨结核分枝杆菌感染性腹膜炎患者应用超声诊断的价值。方法选择2013年1月-2015年1月50例结核分枝杆菌感染性腹膜炎患者进行研究,对所有患者采用超声诊断,记录其诊断结果。结果 50例结核分枝杆菌感染性腹膜炎患者应用超声诊断为单纯腹水型27例占54.0%,团块型15例占30.0%,腹膜、增壁增厚型8例占16.0%;结核分枝杆菌感染性腹膜炎患者中腹痛和腹部压痛均为42例,分布率均为84.0%,有2.0%~19.0%的患者伴有发热、盗汗、消瘦、便秘、恶心、腹泻、腹部柔韧感和腹部包块;50例患者经过超声诊断,共检出结核分枝杆菌腹膜炎合并腹膜外结核患者19例,检出率38.0%;结核分枝杆菌感染性腹膜炎患者检出有不同程度的腹腔积液,其中50例患者均呈现外观淡黄色浑浊或无色透明液体,48例检出白细胞500×105/L,检出率为96.0%。结论超声诊断对结核分枝杆菌感染性腹膜炎患者的诊断具有重要意义,可以成为结核分枝杆菌感染性腹膜炎患者检测的首选方式之一。
[Abstract]:Objective to evaluate the value of ultrasonic diagnosis in patients with Mycobacterium tuberculosis infectious peritonitis. Methods 50 patients with Mycobacterium tuberculosis infectious peritonitis from January 2013 to January 2015 were studied. Results in 50 patients with mycobacterium tuberculosis infectious peritonitis, 27 cases were diagnosed as pure ascites type (54.0%), 15 cases as mass type (30.0%), and 5 cases as peritoneum. There were 42 cases of abdominal pain and abdominal tenderness in the patients with mycobacterium tuberculosis infection peritonitis, the distribution rate was 84.0%, 2.0% of the patients were accompanied by fever, night sweating, wasting, constipation, nausea, diarrhea. In 50 patients with abdominal flexibility and mass of abdominal mass, 19 cases of mycobacterium tuberculosis peritonitis combined with extraperitoneal tuberculosis were diagnosed by ultrasound, the detectable rate was 38.0%, and mycobacterium tuberculosis infectious peritonitis patients had different degrees of peritoneal effusion. White blood cells were detected in 48 cases of 50 patients with pale yellow turbid or colorless transparent liquid, and the detection rate was 96.0%. Conclusion Ultrasonic diagnosis is of great significance in the diagnosis of Mycobacterium tuberculosis infection peritonitis, and it can be one of the first choice methods for the detection of Mycobacterium tuberculosis infection peritonitis.
【作者单位】：衢州市中医医院肿瘤中心;
【基金】：浙江省中医药科学研究基金资助项目(2014ZB134)
【分类号】：R572.2

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