超声检查在胸膜间皮瘤诊断中的应用

目的评价超声检查在诊断胸膜间皮瘤中的作用。方法分析胸膜间皮瘤患者57例。使用超声诊断仪观察患者胸腔内病灶的特点。结果发现单纯肿块者15例,肿块位于壁层9例,脏层6例,8例呈实质性回声,7例呈囊性、实质性混合回声。肿块有完整包膜3例,包膜不明显12例。以胸腔积液为主要表现的有19例,其内可见浮动的散在点状、斑状、片状、分隔状、网状等多种回声特征。肿块合并胸水23例,肿块与胸水的表现多样,其胸膜均有不同程度的增厚。结论在胸膜间皮瘤的诊断过程中,胸部超声检查的优点是操作简单、无创和经济,且可重复检查,是恶性胸膜间皮瘤诊断的有效辅助手段。

Application of Ultrasonographically in Diagnosis of Malignant Pleural Mesothelioma

Objective To assess the clinic use of Ultrasonography in the diagnosis of Malignant Pleural Mesothelioma.Methods Retrospectively analyze the 57 patients confirmed by histology.36 cases were male,21 cases were female,The average age was 50.5.Ultrasonography findings were studied.Results Images of 15 patients showed purely mass,9 cases were in parietal pleura,8 cases were in visceral pleura;8 cases showed substantial echo,8 cases showed cystic,substantial mixed echo;3 cases showed complete capsule,12 cases did not showed obviously capsule.Images of 19 patients showed pleural effusion,these cases showed point,patchy,sheet,separated,grid like echo.23 patients had mass and pleural effusion,these cases demonstrated various lateral pleural thickening.Conclusion Owing to its simplicity,non-invasive,low cost,and repeatability,Ultrasonographically is highly effective in the diagnosis of Malignant Pleural Mesothelioma.