彩色B超对胸腔积液性质的诊断价值  

Diagnostic Value of Color B-Type Ultrasonic for Pleural Effusion

作　　者：丁雁启[1] 张志国[1] 王芳[1] 

机构地区：[1]济宁医学院附属金乡医院呼吸内科,山东省金乡市272200

出　　处：《实用心脑肺血管病杂志》2006年第4期311-312,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨彩色B超对胸腔积液性质的诊断价值。方法 54例胸腔积液患者均行彩超检查,以获得声像图,且均行胸腔穿刺术作胸腔积液检查,根据Light标准区分渗出液和漏出液。结果渗出液46例,漏出液8例。 46例渗出液中,42例声像图为不规则液性暗区,内透声差,可见散在或大量密集细光点反射及分隔光带,阳性率 91．3％(42／46),12例声像图为无回声液性暗区,有8例为漏出液,准确性66．7％(8／12)。结论彩色B超对胸腔积液性质的诊断有重要临床应用价值。Objective To evaluate the diagnostic value of Color B - Type Ultrasonic for pleural effusion. Methods 54 patients with pleural effusion detected by Color B -Type Ultrasonic in order to get ultrasonograms were examined by the thorax centesis, then distinguished the effusion to see whether they were exudate or transudate according to Light standard. Of all the patients, 46 were diagnosed with exudate, and 8 with transudate. Results Among the 46 patients with exudate, 42 of which have irregular liquid dark area on their ultrasonograms, where some thin spots are reflected densely or sparsely. The positive rate is 91.3% （42/46）, and ultrasonograms of 12 patients have none -echo lucent liquid dark area. 8 patients are diagnosed with transudate. The accuracy is 66.7% （8/12）. Conclusion Color B -Type Ultrasonic is very important in diagnosing the character of pleural effusion.

关 键 词：超声检查 多普勒 彩色 胸腔积液 诊断 

分 类 号：R561.3[医药卫生—呼吸系统]