›› 2014, Vol. 35 ›› Issue (6): 661-661.

• 论文 • 上一篇    下一篇

彩色多普勒超声对肺结核疗效的评价作用

田海燕;董书梅;底雪屏;徐莉锋;李岩   

  1. 河北省胸科医院超声科,河北 石家庄,050041%河北省胸科医院药学部,河北 石家庄,050041%河北省石家庄市第一医院西院功能科,河北 石家庄,050011%河北省胸科医院体检中心,河北 石家庄,050041%河北省人民医院体检中心,河北 石家庄,050051
  • 发布日期:2014-06-25

ZHAO Zhiming;CUI Na;HAO Guimin;XU Suxin

TIAN Haiyan;DONG Shumei;DI Xueping;XU Lifeng;LI Yan   

  • Published:2014-06-25

摘要: 目的:探讨接近胸膜的肺结核不同治疗时间肺部病变的二维超声、彩色多普勒图像表现。方法收集临床诊断的接近胸膜肺结核86例,在抗结核治疗过程中进行超声检查,对比观察肺结核治疗1、3、12个月的二维超声、彩色多普勒超声图像特征。结果86例接近胸膜的肺结核超声征象中,在不同时间段肺部病变二维超声表现呈动态改变,相应病变部位彩色多普勒血流信号由丰富变稀少,伴随的胸腔积液也不同程度减少。结论肺结核在治疗前可检出多种不同声像图征象,治疗后声像图征象逐渐减少、消失。彩色多普勒超声可实时观察和测量接近胸膜肺结核回声范围、血流情况以及治疗前后的动态变化,有助于评价肺结核治疗疗效,并可避免X线及CT放射对人体的伤害。

关键词: 结核, 肺, 超声检查, 多普勒, 诊断

Abstract: Objective To explore the treatment of lung lesions close to the pleural tuberculosis in different time by two-dimensional ultrasound and color Doppler image performance. Methods The data of clinical diagnosis of pleural tuberculosis cases were collected,ultrasound check was performed during anti-tuberculosis treatment,comparison was made in pulmonary tuberculosis treatment of 1 month, 3 months,12 months two-dimensional ultrasound and color Doppler image characteristics. Results In 86 cases close to the pleural tuberculosis ultrasonic signs,different time two-dimensional sonographic findings showed the dynamic change,lung pathological changes of the corresponding color altered from rich to less Doppler blood flow signals. And accompanied pleural effusion in some degree reduced. Conclusion Tuberculosis can be detected before the treatment with a variety of ultrasonographic signs,ultrasonographic signs gradually reduced,disappeared after treatment. Color Doppler ultrasound can real-time observe and measure the scope of pleural tuberculosis echo,blood flow and the dynamic change before and after the treatment,it is helpful to evaluate the effect of tuberculosis treatment,and it can avoid X-ray and CT radiation damage to human body.

Key words: tuberculosis, pulmonary, ultrasonography, Doppler, diagnosis

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