【摘要】 目的 讨论胸膜和肺疾病的声像图特征及诊断价值。方法 应用B超检测分析133例胸膜和肺疾病的声像图并同X线胸片进行对照分析，包括107例结核性胸膜炎，21例恶性胸膜、肺肿瘤，1例大叶性肺炎，2例炎性假瘤，2例血气胸。结果 129例(97%)有胸腔积液，表现为三种类型。21例肿瘤病例中14例(67%)发现肿块，1例中心型肺癌和1例大叶性肺炎呈肺实变表现，类似肝脏声像图表现，血气胸有外伤史，39例(29%)B超漏诊肺内同时存在的病变。结论 B超对积液敏感，能早期发现胸腔积液，胸腔积液的表现类型与病程长短有关，不同的疾病可有相同的胸腔积液表现，发现肿块时才有助于肿瘤的诊断，X线胸片能全面显示胸肺情况，将两者结合更有助于临床治疗。

    【关键词】 超声检查;胸腔积液;结核;肺肿瘤

    Sonographic appearance and diagnostic value in diseases of pleura and lung

    ZHANG Can-jing，BAI Lan-ping，TANG Li，et al.

    Department of Function Examination,West Suburban Hospital of Chongqing,Chongqing 400050,China

    【Abstract】 Objective To discuss the sonographic characteristics and diagnostic value in diseases of pleura and lung.Methods Sonographic charactistics of 133 cases with pleural or pulmonary diseases were analyzed retrospectively,and the results were compared with those of chest X-ray film,including 107 cases of tuberculous pleurisy,21 cases of malignant tumor of lung and pleura,1 case of lobar pneumonia,2 cases of inflammatory pseudotumor and 2 cases of hemopneumothorax.Results There were all 129 cases(97%) with hydrothorax,which showed as 3 types.14 cases (67%) from 21 cases of tumor were found with lumps;1 case of central type of lung cancer and 1 case of lobar pneumonia had shown an appearance of consolidation of lung and the similar sonographic appearance to liver;the cases of hemopneumothorax the medical record of surgical trauma.The diagnosis results of 39 cases (29%) with B-mode ultrasonography missed the simultaneous pathological changes in their lung.Conclusion B-mode ultrasonography is sensitive to fluidify,so it can find the pleural fluid early;the appearance types of pleural fluid relate to the course of disease,but different diseases sometimes have the same pleural fluid appearance,so it is useful for diagnosing the tumor to find lumps.Chest X-ray film could show the overall state of chest and lung,so it will help to perform clinical diagnosis and treatment if we use these two methods at the same time. ......