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目的:探讨高频彩超对胸壁结核的诊断价值。方法:对48例胸壁结核进行了超声检查,并对15例进行穿刺活检。结果:典型的胸壁结核声像图表现为回声不同的3个区,中央为不规则无回声区;其外侧为粗颗粒偏强回声带;最外为均匀低回声带,该区域内多能探及血流信号。它们分别对应的病理改变是液化区、干酪坏死区和增殖区。结论:高频彩超能清晰显示胸壁结核的结构特征,胸壁结核声像图表现与病理变化有较好的对应关系。
Objective: To investigate the diagnostic value of high frequency color Doppler ultrasonography for chest wall tuberculosis. Methods: Forty-eight cases of thoracic wall tuberculosis were examined by ultrasound and biopsy of 15 cases. Results: The typical chest wall tuberculosis showed three regions with different echoes, and the center was irregular anechoic area. The outer side of the chest wall was a thick particle echo zone. The outermost was a uniform hypoechoic zone. And blood flow signal. The corresponding pathological changes are liquefaction zone, cheese necrosis zone and proliferation zone. Conclusion: High-frequency color Doppler ultrasound can clearly show the structural characteristics of chest wall tuberculosis, chest wall tuberculosis and pathological changes in the performance of a good correspondence.