摘要
目的探讨胸壁结核的超声表现及其诊断价值。方法回顾分析经手术、穿刺病理检查证实的51例胸壁结核患者的超声表现特征。结果本组51例胸壁结核超声表现,圆形或椭圆形实质性回声18例,且沿肋间软组织分布,其中,低回声型5例。弱而不均质回声,且内部兼有斑点状强回声13例,5例病灶周边可见点线状血流分布。病灶表现为液性暗区者33例,其中,20例肋间组织间呈现哑铃型液性暗区。与病理对照,超声正确诊断49例(96.2%),误诊2例(3.8%)。结论胸壁结核的超声表现有其特征的改变。超声检查可反映胸壁结核病灶大小、范围、内部结构以及与周围的关系,并为临床制定治疗方案提供依据。
Objective To discuss the ultrasonic findings of chest wall tuberculosis and their significance for the diagnosis. Methods Ultrasonic findings of 51 patients with surgically and pathologically proved chest wall tuberculosis were analyzed retrospectively. Results Among 51 cases, uhrasonography showed round or oval solid echo in 18 cases, of whom, the lesions were distributed along the intercostal soft tissue with low echo pattern in 5 cases, the lesions presented weak and nonhomogeneous echo associated with internal patchy strong echo in 13 cases and point -form or linear blood flow distribution around the lesions in 5 cases. The lesions presented as liquid dark area in 33 cases, of whom, intercostal tissue presented dumb bell - form liquid dark area in 20 cascs. Compared with pathology, uhrasonography correctly diagnosed 49 of 51 cases（96. 2% ） and misdiagnosed 2 of 51 cases（3.8% ）. Conclusion For diagnosis of chest wall tuberculosis, ultralsonography can show the lesion size, invasive extent, internal structure and its relationship to the peripheral tissue so that it can provide the reliable evidence for clinically determining the therapeutic protocol.
出处
《实用医学影像杂志》
2007年第3期185-187,共3页
Journal of Practical Medical Imaging
关键词
胸壁
结核
超声检查
Chest wall
Tuberculosis
Ultrasonography
