CAJ | 학술논문

目的：分析彩超对胸腔积液的临床诊断价值。方法选取我院46例胸腔积液患者作为观察对象，胸腔穿刺确诊前，所有患者均行彩超检查；对比彩超诊断结果与病理检查结果。结果46例患者病理诊断结果为：18例大量积液，15中量积液，9例少量积液，4例包裹性积液。彩超诊断大量积液、中量积液、少量积液及包裹性积液的符合率分别为100.00%、100.00%、88.89%及75.00%。彩超诊断胸腔积液的总符合率为95.65%（44/46），略低于病理诊断， P>0.05，差异无统计学意义。结论采用彩超诊断胸腔积液具有无创、诊断符合率高的特点，值得临床推广应用。
목적：분석채초대흉강적액적림상진단개치。방법선취아원46례흉강적액환자작위관찰대상，흉강천자학진전，소유환자균행채초검사；대비채초진단결과여병리검사결과。결과46례환자병리진단결과위：18례대량적액，15중량적액，9례소량적액，4례포과성적액。채초진단대량적액、중량적액、소량적액급포과성적액적부합솔분별위100.00%、100.00%、88.89%급75.00%。채초진단흉강적액적총부합솔위95.65%（44/46），략저우병리진단， P>0.05，차이무통계학의의。결론채용채초진단흉강적액구유무창、진단부합솔고적특점，치득림상추엄응용。
Objective to analyze the clinical diagnostic value of ultrasound for pleural effusion. Methods 46 cases in our hospital patients with pleural effusion as the observed object, before thoracentesis diagnosis, all patients underwent ultrasonography; contrast ultrasound diagnosis and pathologic findings. Results 46 cases of patients with pathologic diagnosis as follows: 18 cases of large effusion, 15 in the amount of effusion, nine cases of effusion, four cases of encapsulated fluid. Ultrasound diagnosis of a large effusion, in the amount of effusion, a small amount of fluid and encapsulated fluid compliance rates were 100.00%, 100.00%, 88.89% and 75.00%. Ultrasound diagnosis of pleural effusion total coincidence rate was 95.65%(44/46), slightly lower than the pathological diagnosis, P> 0.05, the difference was not statistically significant. Conclusion ultrasound diagnosis of pleural effusion non-invasive, diagnostic rate characteristics, worthy of clinical application.