结核分枝杆菌感染性腹膜炎诊断中超声的应用价值研究  

Value of ultrasonic diagnosis of Mycobacterium tuberculosis infectious peritonitis

作　　者：闻波平[1] 孟君[1] 张文智[1] 王大力[1] 

机构地区：[1]杭州市红十字会医院超声科,浙江杭州310003

出　　处：《中华医院感染学杂志》2014年第11期2750-2751,共2页Chinese Journal of Nosocomiology

基　　金：杭州市红十字会医院科研基金项目(hhyn201102)

摘　　要：目的探讨超声在结核分枝杆菌感染性腹膜炎诊断中的应用价值,为结核分枝杆菌感染性腹膜炎的诊断提供参考。方法收集2010年1月-2013年1月123例临床怀疑结核分枝杆菌感染性腹膜炎患者临床资料,所有患者均行超声检查,以实验室检查、手术、病理证实为结核分枝杆菌感染性腹膜炎为金标准。结果 123例可疑患者中超声检查初步诊断为结核分枝杆菌感染性腹膜炎患者85例占69.1%;其中80例有腹水占94.1%,腹膜增厚56例占65.9%,肠管粘连30例占35.3%,淋巴结肿大16例占18.8%;可疑患者中最终确诊为结核分枝杆菌感染性腹膜炎患者88例,非结核分枝杆菌感染性腹膜炎患者35例,超声对结核分枝杆菌感染性腹膜炎的诊断结果显示,准确率93.5%,敏感度94.3%,特异度94.2%,阳性似然比16.3,阴性似然比0.06,阳性预测值97.6%,阴性预测值86.8%。结论超声对结核分枝杆菌感染性腹膜炎有较好的临床诊断价值,无创、操作简单,值得临床推广应用。OBJECTIVE To discuss the applications of ultrasound in the diagnosis of Mycobacterium tuberculosis infectious peritonitis value, so as to provide a reference for the diagnosis of M. tuberculosis infectious peritonitis. METHODS The data from 123 patients suspected M. tuberculosis infectious peritonitis in our hospital from Jan. 2010 to Jan. 2013 were selected, and all patients were performed ultrasound examination, with the laboratory, surgery and pathology confirmed as mycobacterium tuberculosis infectious peritonitis as the gold standard. RESULTS Ultrasound examination in 123 patients with suspected early diagnosis of M. tuberculosis infectious peritonitis patients, 85 cases with infections, accounted for 69.1%, among which 80 cases of ascites, accounted for 94.1%, peritoneal thick＇ening of 56 cases, accounted for 65.9%, 30 cases of bowel adhesion 35.3%, lymph node enlargement in 16 cases, accounted for 18. 8%. Final diagnosis of M. tuberculosis infection in patients in suspected peritonitis patients were 88 cases, 35 patients with non IV[. tuberculosis infectious peritonitis, ultrasound in the diagnosis of M. tuberculosis infectious peritonitis results showed that the degree of accuracy, sensitivity, specific, positive likelihood ratio and negative likelihood ratio, positive predictive value, negative predictive value were 93.5~, 94.3%, 94.2%, 16.3, 0. 06, 97.6% and 86.8%. CONCLUSIONS Ultrasound for M. tuberculosis infectious peritonitis has better clinical diagnostic value of nonqnvasive, simple operation, worthy of clinical popularization and application.

关 键 词：超声诊断 结核分枝杆菌 感染 腹膜炎 

分 类 号：R181.32[医药卫生—流行病学]