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目的评价超声检查在尘肺病患者及观察对象胸膜病变的诊断价值。方法应用超声对接尘组200例尘肺病患者与观察对象和对照组120名健康者的胸膜进行检查,观察胸膜病变情况。结果接尘组中发现胸膜病变130例(65.00%),对照组中发现胸膜病变18例(15.00%),2组间胸膜病变检出率比较,差异有统计学意义(P<0.01)。接尘组胸膜病变在超声影像学检查中可见胸膜增厚、胸膜结节、胸膜粘连、胸膜钙化、胸膜凹陷、胸腔积液、气胸7种主要表现形态。结论超声检查是一种快速、安全、简便的方法,对于尘肺胸膜病变的诊断、鉴别诊断有重要意义。
Objective To evaluate the diagnostic value of ultrasonography in patients with pneumoconiosis and pleural diseases. Methods Ultrasound was used to examine the pleura in 200 patients with pneumoconiosis and in the observation group and 120 healthy persons in the control group, and the pleural diseases were observed. Results There were 130 cases of pleural disease (65.00%) and 18 cases of pleural disease (15.00%) in the control group. There was significant difference in the detection rate of pleural disease between the two groups (P <0.01). Pleural lesions in the dust group pleural thickening, pleural nodules, pleural adhesions, pleural calcification, pleural indentation, pleural effusion, pneumothorax 7 kinds of main manifestations can be seen in the ultrasound imaging examination. Conclusion Ultrasonography is a fast, safe and easy method, which is of great significance for the diagnosis and differential diagnosis of pneumoconiosis pleural diseases.