CAJ | 학술논문

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。
목적：분석결핵성복막염채색다보륵초성성상특점，제고채색다보륵초성진단결핵성복막염수평。방법선택2005년2월－2014년2월수치적경림상학진위결핵성복막염198례환자위연구대상，총결환자림상증상，통계채색다보륵초성진단결핵성복막염적림상부합정황，분석결핵성복막염적채색다보륵초성성상특점。결과결핵성복막염환자주요표현위발열위주，공161례점81．3％；입선결핵성복막염환자중초성진단정학병례176례，진단부합솔위88．9％；루진화오진22례，점11．1％；성상도주요표현위복수형、복막화장벽증후형、단괴형화림파결종대형。결론채색다보륵초성용우진단결핵성복막염림상진단부합솔고，구유교호적민감도화특이성，가작위결핵성복막염림상진단수선방법。
OBJECTIVE To analyze the characteristics of color Doppler ultrasound image of tuberculous peritonitis , so as to improve the clinical diagnosis level of tuberculous peritonitis by color Doppler ultrasound .METHODS To‐tally 198 patients with tuberculous peritonitis in our hospital from Feb .2005 to Feb .2014 were chosen as objects . The clinical symptoms of tuberculous peritonitis were summarized ,and the clinical diagnosis coincidence by color Doppler ultrasound image was analyzed .The characteristics of color Doppler ultrasound image were summarized . RESULTS A total of 161 cases with tuberculous peritonitis manifested as fever (81 .3% ) ,176 cases were diag‐nosed rightly by color Doppler ultrasound ,and the clinical diagnosis coincidence rate was 88 .9% .Totally 22 cases were miss diagnosed or misdiagnosed ,accounting for 11 .1% .And the ultrasound image manifested as ascetic type ,thickened peritoneum and intestinal wall type ,block type and adenophyma type .CONCLUSION The color Doppler ultrasound has a high accordance rate of clinical diagnosis ,high sensitivity and specificity in diagnosing tu‐berculous peritonitis ;hence it is the first choice to diagnose the tuberculous peritonitis .