论文部分内容阅读
目的揭示X射线和超声对包裹性胸腔积液的联合检查方法具有互补性。方法回顾性分析自2013年8月至2015年9月期间,我院门诊及住院病人共178例胸腔积液,其中包裹性积液占76例,占42.6%。对这些病人分别均进行了X射线和超声检查,显示出各自的优劣势。结果 X射线确诊52例,确诊率达到68.2%。超声确诊62例,确诊率达到81.5%。联合检查后,确诊率98.6%。X射线在胸膜肥厚或者大片胸腔积液里的包裹性积液难以鉴别。超声在个别胸膜肿瘤如胸膜间皮瘤容易和包裹性积液混淆。结论针对包裹性胸腔积液患者,X射线和超声各有优劣势,在实际工作中联合检查后,提高了病变确诊率,使病人的确诊率升高,最大程度降低了误诊漏诊率。
Objective To reveal the complementarity of the combined examination of X-ray and ultrasonography for encapsulated pleural effusion. Methods A retrospective analysis of 178 cases of pleural effusion in our outpatient and inpatient hospital from August 2013 to September 2015, of which 76 cases were encapsulated fluid (42.6%). X-ray and ultrasonography were performed on these patients, showing their respective strengths and weaknesses. Results X-ray confirmed 52 cases, the diagnosis rate reached 68.2%. 62 cases were diagnosed by ultrasound, the diagnosis rate reached 81.5%. After the joint inspection, the diagnosis rate of 98.6%. X-ray pleural thickening or pleural effusion in the package fluid difficult to identify. Ultrasound in individual pleural tumors such as pleural mesothelioma easily confused with encapsulated fluid. Conclusion X-ray and ultrasound have advantages and disadvantages for X-ray and ultrasonography in patients with pleural effusion. After joint examination in practice, the diagnosis rate of lesions is increased, the diagnosis rate of patients is increased, and the misdiagnosis rate is reduced to the maximum extent.