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目的探讨结核性腹膜炎的超声声像图特点和诊断价值。方法对经大网膜穿刺活检、腹水穿刺检查及手术病理等方法证实的结核性腹膜炎病例进行回顾性分析。结果 86例超声诊断符合结核性腹膜炎的72例,准确率为83.7%。主要超声表现有:①腹水,占98.8%;②腹膜壁层增厚,占66.2%;③大网膜、肠系膜呈结节样增厚或饼状增厚,肠管粘连,占33.7%;④淋巴结肿大,占18.6%。结论超声对诊断结核性腹膜炎有较大价值,结合临床,大多数病例可作出正确诊断。
Objective To investigate the ultrasonographic features and diagnostic value of tuberculous peritonitis. Methods Retrospective analysis of tuberculous peritonitis confirmed by omentum biopsy, ascites puncture examination and surgical pathology were performed. Results 72 cases of tuberculous peritonitis were diagnosed by ultrasound in 86 cases, the accuracy rate was 83.7%. The main ultrasound manifestations are: ① ascites, accounting for 98.8%; ② peritoneal wall thickening, accounting for 66.2%; ③ omentum, mesentery was nodular thickening or pancake thickening, intestinal adhesions, accounting for 33.7%; ④ lymph nodes Swelling, accounting for 18.6%. Conclusion Ultrasound has great value in the diagnosis of tuberculous peritonitis, combined with clinical, most cases can make the correct diagnosis.