胸部超声在胸结核诊断中的作用

IF 0.2 Q4 RESPIRATORY SYSTEM
A. Marwa, Korraa Emad, Madkour Ashraf, A. Noha
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引用次数: 0

摘要

关于胸部超声(CUS)在胸结核(TTB)中的作用的资料不足。如果CUS对肺结核(PTB)的诊断准确性与CUS对肺炎的诊断准确性相似,则CUS可能在其诊断中发挥重要作用。目的本研究旨在描述结核性肺结核的诊断特点和使用,并比较结核性肺结核与社区获得性肺炎(CAP)的诊断结果。患者和方法本研究纳入连续出现TTB和CAP的患者。计算机断层扫描(CT)胸部,CUS,纵隔超声和腹部超声。记录TTB、PTB和CAP病例的CUS病变模式。结果PTB患者胸膜间隙(28例,27%)、胸膜碎片化(35例,34%)、胸膜下积液(3例,2.9%)、胸膜下结节(97例,95%)在CT未检出的胸膜下结节(SPN)中,CUS具有独特且显著性(P<0.05)。此外,PTB患者的CUS独特且显著地检测到空洞病变、胸膜间隙和spn的缺失滑动征象,这些在CAP中没有(P<0.05),并且与CAP中的CUS相比,胸膜下实变的发生率更高。然而,CAP患者比PTB患者更明显地出现空气支气管图CUS模式。结论CUS是评估TTB的辅助工具。它可以报告CT未发现的新PTB模式(胸膜间隙、胸膜碎片化、胸膜下积液、SPN和胸膜下实变)。与CAP相比,CUS在PTB中检测到不同的声像图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of chest ultrasound in the diagnosis of thoracic tuberculosis
Introduction Data regarding the role of chest ultrasound (CUS) in thoracic tuberculosis (TTB) are deficient. If the diagnostic accuracy of CUS for pulmonary tuberculosis (PTB) is similar to that for CUS in the diagnosis of pneumonia, CUS could play an important role in its diagnosis. Aim This study aimed to describe the diagnostic features and use of CUS in TTB and compare CUS findings in PTB versus community-acquired pneumonia (CAP). Patients and methods Consecutive patients presenting with TTB and CAP were enrolled in this study. Computed tomography (CT) chest, CUS, mediastinal US, and abdominal US were performed. CUS lesion pattern in TTB, PTB, and CAP cases were recorded. Results CUS in patients with PTB uniquely and significantly detected pleural gap (28 patients, 27%), fragmented pleura (35 patients, 34%), subpleural fluid collection (three patients, 2.9%), and subpleural nodules (SPN) (97 patients, 95%), which were not detected by CT (P<0.05 for all). Moreover, CUS in patients with PTB uniquely and significantly detected absent sliding sign in a cavitary lesion, pleural gap, and SPNs, which were absent in CUS in CAP (P<0.05 for all) and highly significant more subpleural consolidations when compared with CUS findings in CAP. However, more significant air bronchogram CUS patterns were encountered in patients with CAP than in those with PTB. Conclusion CUS is a complementary tool in assessing TTB. It can report new PTB patterns (pleural gap, fragmented pleura, subpleural fluid collection, SPN, and subpleural consolidation) not detected by CT. CUS detects different sonographic patterns in PTB than CAP.
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来源期刊
自引率
0.00%
发文量
46
审稿时长
22 weeks
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.
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