超声彩色多普勒诊断胸壁结核的临床研究

目的 探讨超声在胸壁结核诊断中的临床价值.方法 超声诊断134例胸壁结核并与CT、X线诊断结果进行相关性对比研究.结果 实性回声型27例,液性暗区型42例,混合回声型65例.超声诊断病灶内钙化及“蟹足样”窦道与CT检查结果比较,其差异有统计学意义(P＜0.05).超声与CT诊断胸壁结核的特异性分别为95.52％和93.28％,其差异无统计学意义(P＞0.05).结论 超声诊断胸壁结核具有临床价值,可确定胸壁结核大小、范围及与周围组织的关系,是临床确诊胸壁结核的有效方法.

Clinical research of color Doppler ultrasound in diagnosis of chest wall tuberculosis

Objective To explore the clinical value of ultrasound in the diagnosis of chest wall tuberculosis. Methods 134 cases of chest wall tuberculosis were diagnosed with ultrasound and the correlation with CT, X-ray diagnostic results were studied. Results There were solid echo type 27 cases; liquid dark area type 42 cases and combined echo type 65 cases. There was statistical significant difference between ultrasound and CT diagnosis of calcification within the lesion and the ＂crab-like＂ sinus（P〈0.05）. The specificities of ultrasound and CT diagnosis of chest wall tuberculosis were 95.52% and 93.28%, respectively, and the difference was not statistically significant （P〉0.05）. Conclusion Ultrasound diagnosis of chest wall tuberculosis has clinical value on determining the size of chest wall nodule, its range, and its relationship with the surrounding tissue. It is an effective diagnostic method of chest wall tuberculosis.