结核性胸腔积液的超声诊断特点

目的通过对结核性胸腔积液的超声影像特点进行分析，以提高对结核性胸腔积液的诊断正确率。方法对2010年7-12月在我所住院治疗的79例结核性胸腔积液患者的超声表现作回顾性分析。结果结核性胸腔积液的超声表现大致可以分为：游离型47例，占59％；分隔型18例，占22％；包裹型14例，占17％。结论超声检查能够清楚地显示胸腔积液的病变范围、内部回声的结构和特点以及与邻近组织的关系。因此，可决定经皮穿刺的部位、方向和深度，也可指导临床拟定方案，以达到诊断、治疗及减少并发症的目的。

Characteristics of Ultrasonographic Diagnosis on Tuberculous Pleural Effusion

objective Through the analysis of tuberculous pleural effusion by ultrasonic imaging characteristics , improve the diagnosis of tuberculous pleural effusion accuracy. Methods In July to December of 2010, the tuberculous pleural effusion sonographic findings of 79 patients hospitalized here were retrospectively analyzed. Results Tuberculous pleural effusion sonographic findings can be roughly classified into： free type, a total of 47 cases, accounting for $9%; Space type： 18 cases, 22%; Package type： 14 cases, accounts for 17%. Conclusion Ultrasound examination can clearly show pleural effusion lesions range, structure and characteristics of the internal echoes, and the relationship with adjacent tissue. Therefore, it can decide percutaneous parts, direction and depth, also can guide clinical, draft a plan, so that diagnosis, treatment and the purpose of reducing complications can be achieved.