胸腔积液的超声影像与临床表现的联系

目的:研究胸腔积液的超声影像及图像。方法:对85例胸腔积液患者作常规超声检查。结果:设液体前后径<4cm者为少量积液;中量积液为4cm以上,液体前后经>8cm者为大量积液。临床上少量积液为100ml以下。85例胸腔积液中有41例出现胸腔积液的临床表现。在中量或大量积液中,B超检查出现纤维组织物飘动者(也呈水草状光带回声),常提示恶性肿瘤或结核病患者。结论:超声检查胸腔积液是一种无创快捷及有效的影像技术,可弥补X线不足(如对少量的胸腔积液)得到准确的诊断效果。对临床制定治疗方案,评估愈后具有重要的应用价值。

Ultrasonic Imaging of Thoracic Effusion and its Relationship with Clinical Manifestation

Objective To study the ultrasonic imaging (and picture)in patients with thoracic effusion.Methods The ultrasonic imaging was performed in 85 patients.A thickness of fluid layer less than 4 cm was regarded as the small amount,more than 4 cm as the moderate amount and more than 8 cm as the large amount,respectively.Thoracic fluid less than 100 ml was regarded as the small amount clinically.Floating fibrous tissue (or waterweed-like echo of lustrous band) detected in patients with moderate or larger amount fluid always suggests the existence of malignant tumor or tuberculosis.Ultrasonic for thoracic fluid examination is a convenient and injury-less and effective image technique,which can make up the deficiency of X-ray and obtain accurate diagnostic effect.Ultrasonic also plays an important role in making therapeutic plan and evaluating the prognosis.