CAJ | 학술논문

目的：探讨超声对结核性胸腔积液的诊断和穿刺定位中的应用价值分析。方法回顾分析我院2009年1月~2013年5月经超声诊断定位的683例胸腔积液的穿刺结果。结果本组中游离性积液384例；包裹性积液164例，多房性积液135例。683例胸腔积液患者经过超声诊断提示结核性胸腔积液587例，经临床确诊531例，超声诊断符合率90.4%（531/587），漏诊率5.1%(30/587)，符合率与误诊率比较有显著差异，P<0.05，差异具有统计学意义。超声对于积液量较多、包裹性积液及多房性积液患者经超声定位穿刺成功率达100%，无1例产生严重的并发症。结论超声对于结核性胸膜炎引起的结核性胸腔积液的诊断价值巨大，超声诊断结核性胸膜炎的符合率高。超声对于积液量较多及包裹性积液患者经超声定位穿刺成功率高，并发症少。对于积液量少或积液包裹位置特殊的患者应用实时超声引导下诊断性穿刺价值高。
목적：탐토초성대결핵성흉강적액적진단화천자정위중적응용개치분석。방법회고분석아원2009년1월~2013년5월경초성진단정위적683례흉강적액적천자결과。결과본조중유리성적액384례；포과성적액164례，다방성적액135례。683례흉강적액환자경과초성진단제시결핵성흉강적액587례，경림상학진531례，초성진단부합솔90.4%（531/587），루진솔5.1%(30/587)，부합솔여오진솔비교유현저차이，P<0.05，차이구유통계학의의。초성대우적액량교다、포과성적액급다방성적액환자경초성정위천자성공솔체100%，무1례산생엄중적병발증。결론초성대우결핵성흉막염인기적결핵성흉강적액적진단개치거대，초성진단결핵성흉막염적부합솔고。초성대우적액량교다급포과성적액환자경초성정위천자성공솔고，병발증소。대우적액량소혹적액포과위치특수적환자응용실시초성인도하진단성천자개치고。
Objective Analyzing the application value on diagnosis and puncturing localization to tuberculous pleural ef usion by ultrasound. Methods Reviewed and explore the puncturing results on 683 cases of pleural ef usion diagnosed and sited by ultrasound from 2009, Jan to 2013, May in our hospital. Results There were 384 free pleural ef usion cases, 164 encapsulated ef usion cases, and 135 multilocular ef usion cases in the group. In that 683 pleural ef usion group, 587 tuberculous pleura ef usion cases were pointed out which had 531 confirmed cases. The ultrasonic diagnostic accuracy rate was 90.4 %( 531/587), and the rate of misdiagnosis was 5.1%(30/587) .In contrast, between of them had statistic significant dif erence, and P<0.05.The success rate to more fluid volume, encapsulated fluid and multi-room ef usions by ultrasound positioning puncture reached to 100%, with no serious complications. Conclusion The ultrasonic diagnose possess a big value to tuberculous pleura ef usion were caused by tuberculous pleurisy which had a high accuracy rate. The ultrasound positioning puncture has a high success rate and less complication to that more fluid volume and encapsulated fluid patients. It also has a high value to the less fluid volume and encapsulated fluid in special site patients by real-time ultrasonic diagnostic puncturing.