B超与CT对结核性胸膜炎的诊断价值

摘要

Objective:To discuss the clinical values of applying B ultrasound and CT in tuberculous pleuritis.Method:80 cases of patients with tuberculous pleuritis in author’s hospital from February 2011 to February 2013 were selected as the study objects,they were diagnosed by B ultrasound and CT respectively.Confirmed the diagnostic accuracy of applying B ultrosound and CT in tuberculous pleuritis,by comparing the images of two methods,and compared the efficacy/cost ratio of two methods.Result:Among the imaging results,73 cases were diagnosed with tuberculous pleuritis by B ultrosound,accuracy rate was 91.25%,76 cases were diagnosed with tuberculous pleuritis by CT,accuracy rate was 95.00%,the result was not statistically significant(χ²=1.867,P=0.092>0.05). And efficacy/cost ratio of B ultrosound was significantly higher than CT,the result was significant statistical(t=69.353,P=0.0000<0.05).Conclusion:B ultrosound and CT can both diagnose tuberculous pleuritis accurately,but B ultrosound has advantages of lower cost,simple operation and less burden,this method is worthy of being widely promoted in clinic.%目的：探讨B超与CT对结核性胸膜炎的临床诊断价值。方法：选取2011年2月-2013年2月笔者所在医院收治的80例结核性胸膜炎患者作为研究对象。分别采用B超和CT进行临床诊断，通过对80例结核性胸膜炎患者的两种影像诊查结果的对比分析，确定B超和CT应用在结核性胸膜炎诊断上的准确率，并对比两种辅助诊断的效益成本比值。结果：80例结核性胸膜炎患者的影像学诊断结果中，B超确诊为结核性胸膜炎73例，准确率为91.25%，CT检查确诊为结核性胸膜炎76例，准确率为95.00%，差异无统计学意义(χ²=1.867，P=0.092>0.05)。B超检查的效益成本比值大于CT，差异有统计学意义(t=69.353，P=0.0000<0.05)。结论：B超与CT对结核性胸膜炎均能做出准确的诊断，但B超检查成本较为低廉，操作比较简单方便，患者负担小，具有临床上普遍推广的价值。