超声成像对少量气胸的诊断价值  

The value of ultrasound in diagnosis of small spontaneous pneumothorax

作　　者：岳虹 杨浩 刘学彬 郑庆玲 戚佳 

机构地区：[1]南充市中心医院.川北医学院第二临床医学院超声科 [2]南充市中心医院.川北医学院第二临床医学院医学影像科,四川南充637000 [3]四川省卫计委宣教中心,四川成都610041

出　　处：《川北医学院学报》2016年第2期165-167,共3页Journal of North Sichuan Medical College

基　　金：四川省卫生厅科研项目(070293)

摘　　要：目的:探讨超声成像对少量气胸的诊断价值及优势。方法:回顾性分析10例临床确诊的少量自发性气胸患者的CT、X线胸部平片及超声检查影像资料,对比分析超声成像对少量自发性气胸的检出率、优势和局限性。结果:临床证实的10例患者,超声成像和X线胸部平片诊断气胸4例,检出率40%,两者无统计学意义(P>0.05)。同时,超声另外诊断出胸腔积液2例,颈部皮下气肿1例,胸壁皮下气肿1例,肺部包块2例。结论:超声成像对急症和危重症患者可执行床旁检查,诊断中对设备要求低,可作为少量气胸筛查的重要手段。Objective： To explore the diagnostic value and advantage of ultrasound compare with chest computed tomography（ CT） and X-rays in patients with small spontaneous pneumothorax. Methods： A retrospective analysis was made of consecutive 10 small spontaneous pneumothorax patients. Of all patients who underwent lung ultrasound,chest X-rays and CT scan,then compared the detection rate and analyzed the advantage and limitation of lung ultrasound. Results： Compared with CT scan,ultrasound and chest Xrays diagnosed 4 cases（ detection rate： 40%）,there were no significant differences in detection rate between lung ultrasound and chest X-rays（ P 〉 0. 05）,Moreover,ultrasound diagnosed pleural effusion 2 cases,neck subcutaneous emphysema 1 case,chest wall subcutaneous emphysema 1 case,pulmonary mass 2 cases. Conclusion： Lung ultrasound is safe and equipment requirement is low,and may be an alternative for CT scan in critically ill patients.

关 键 词：少量气胸 诊断 超声 CT X线胸片 

分 类 号：R445.1[医药卫生—影像医学与核医学]