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目的:探讨高频彩色多普勒超声在诊断胸壁结核中的临床价值。方法:对46例经临床确诊胸壁结核患者的高频超声图像进行对比分析。结果:46例胸壁结核,病变位于前胸壁26例,侧胸壁13例,后胸壁7例。46个病灶中囊性者13例,实性者3例,囊实混合性者30例,其中侵犯肋间肌并与胸膜腔相通者25例;皮肤破溃者3例。结论:高频彩色多普勒超声能清晰显示胸壁结核病灶的形态、特征及浸润范围,其声像图表现与病灶的囊实性有较好的对应关系,对胸壁结核的临床诊断具有重要价值。
Objective: To investigate the clinical value of high-frequency color Doppler ultrasound in the diagnosis of chest wall tuberculosis. Methods: 46 cases of clinically diagnosed patients with chest wall tuberculosis were analyzed by high frequency ultrasound images. Results: Forty-six cases of thoracic wall tuberculosis were located in 26 cases of anterior chest wall, 13 cases of lateral chest wall and 7 cases of posterior chest wall. Among the 46 lesions, 13 were cystic, 3 were solid, 30 were cystic and solid. Among them, 25 were infiltrating the intercostal muscle and communicating with the pleural cavity; 3 were skin ulceration. CONCLUSION: High-frequency color Doppler ultrasound can clearly show the morphology, characteristics and infiltration of chest wall tuberculosis. The sonography of the chest wall shows a good correspondence with the cystic solidity of the lesion and is of great value in the clinical diagnosis of chest wall tuberculosis .