中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
15期
57-57,58
,共2页
陈春霞%杨荣%黄碧%李粼%林娇
陳春霞%楊榮%黃碧%李粼%林嬌
진춘하%양영%황벽%리린%림교
B超%CT%结核性胸膜炎%诊断
B超%CT%結覈性胸膜炎%診斷
B초%CT%결핵성흉막염%진단
B ultrasound%Computed tomography%Tuberculous pleuritis%Diagnosis
目的：探讨B超与CT对结核性胸膜炎的临床诊断价值。方法：选取2011年2月-2013年2月笔者所在医院收治的80例结核性胸膜炎患者作为研究对象。分别采用B超和CT进行临床诊断，通过对80例结核性胸膜炎患者的两种影像诊查结果的对比分析，确定B超和CT应用在结核性胸膜炎诊断上的准确率，并对比两种辅助诊断的效益成本比值。结果：80例结核性胸膜炎患者的影像学诊断结果中，B超确诊为结核性胸膜炎73例，准确率为91.25%，CT检查确诊为结核性胸膜炎76例，准确率为95.00%，差异无统计学意义(χ2=1.867，P=0.092>0.05)。B超检查的效益成本比值大于CT，差异有统计学意义(t=69.353，P=0.0000<0.05)。结论：B超与CT对结核性胸膜炎均能做出准确的诊断，但B超检查成本较为低廉，操作比较简单方便，患者负担小，具有临床上普遍推广的价值。
目的：探討B超與CT對結覈性胸膜炎的臨床診斷價值。方法：選取2011年2月-2013年2月筆者所在醫院收治的80例結覈性胸膜炎患者作為研究對象。分彆採用B超和CT進行臨床診斷，通過對80例結覈性胸膜炎患者的兩種影像診查結果的對比分析，確定B超和CT應用在結覈性胸膜炎診斷上的準確率，併對比兩種輔助診斷的效益成本比值。結果：80例結覈性胸膜炎患者的影像學診斷結果中，B超確診為結覈性胸膜炎73例，準確率為91.25%，CT檢查確診為結覈性胸膜炎76例，準確率為95.00%，差異無統計學意義(χ2=1.867，P=0.092>0.05)。B超檢查的效益成本比值大于CT，差異有統計學意義(t=69.353，P=0.0000<0.05)。結論：B超與CT對結覈性胸膜炎均能做齣準確的診斷，但B超檢查成本較為低廉，操作比較簡單方便，患者負擔小，具有臨床上普遍推廣的價值。
목적：탐토B초여CT대결핵성흉막염적림상진단개치。방법：선취2011년2월-2013년2월필자소재의원수치적80례결핵성흉막염환자작위연구대상。분별채용B초화CT진행림상진단，통과대80례결핵성흉막염환자적량충영상진사결과적대비분석，학정B초화CT응용재결핵성흉막염진단상적준학솔，병대비량충보조진단적효익성본비치。결과：80례결핵성흉막염환자적영상학진단결과중，B초학진위결핵성흉막염73례，준학솔위91.25%，CT검사학진위결핵성흉막염76례，준학솔위95.00%，차이무통계학의의(χ2=1.867，P=0.092>0.05)。B초검사적효익성본비치대우CT，차이유통계학의의(t=69.353，P=0.0000<0.05)。결론：B초여CT대결핵성흉막염균능주출준학적진단，단B초검사성본교위저렴，조작비교간단방편，환자부담소，구유림상상보편추엄적개치。
Objective:To discuss the clinical values of applying B ultrasound and CT in tuberculous pleuritis.Method:80 cases of patients with tuberculous pleuritis in author’s hospital from February 2011 to February 2013 were selected as the study objects,they were diagnosed by B ultrasound and CT respectively.Confirmed the diagnostic accuracy of applying B ultrosound and CT in tuberculous pleuritis,by comparing the images of two methods,and compared the efficacy/cost ratio of two methods.Result:Among the imaging results,73 cases were diagnosed with tuberculous pleuritis by B ultrosound,accuracy rate was 91.25%,76 cases were diagnosed with tuberculous pleuritis by CT,accuracy rate was 95.00%,the result was not statistically significant(χ2=1.867,P=0.092>0.05). And efficacy/cost ratio of B ultrosound was significantly higher than CT,the result was significant statistical(t=69.353,P=0.0000<0.05).Conclusion:B ultrosound and CT can both diagnose tuberculous pleuritis accurately,but B ultrosound has advantages of lower cost,simple operation and less burden,this method is worthy of being widely promoted in clinic.
