| 摘要: |
| ［摘要］ 目的 比较间质性肺疾病（ILD）与慢性阻塞性肺疾病急性发作（AECOPD）患者的经胸肺超声图像的差异。方法 对70例经CT及临床诊断证实的ILD患者及30例AECOPD患者行经胸肺超声检查，观察胸膜有无增厚，胸膜有无凹凸不平整，胸膜下有无低回声区，胸腔有无积液，记录B线条数最多的一个切面所显示的B线条数，比较二者的差异。结果 经胸肺超声检查显示，ILD组胸膜增厚超过1.0 mm、胸膜凹凸不平整、一个切面有3条以上的B线及胸膜下有低回声区的比例高于AECOPD组，差异有统计学意义（P<0.01）。ILD组有少量胸腔积液的比例低于AECOPD组，差异有统计学意义（P<0.05）。结论 ILD的经胸肺超声图像有一定的特征，可以与AECOPD进行鉴别。 |
| 关键词: 间质性肺疾病 肺超声 慢性阻塞性肺疾病急性发作 |
| DOI：10.3969/j.issn.1674-3806.2018.02.08 |
| 分类号:R 445.1 |
| 基金项目:广西卫计委科研课题（编号：Z2016595） |
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| A contrast study of transthoracic chest ultrasound manifestations on patients with interstitial lung disease and patients with acute exacerbation of chronic obstructive pulmonary disease |
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HUANG Xiang-hong, HUANG Xiao-li
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Department of Ultrasound Diagnostics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To study the difference in transthoracic chest ultrasound sonograms between the patients suffering from interstitial lung disease(ILD) and acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods 70 patients with ILD(the ILD group) and 30 patients with AECOPD(the AECOPD group) who were confirmed by computed tomography(CT) and clinical diagnoses underwent transthoracic lung ultrasound for assessment of pleural thickening, uneven pleural surface, subpleural low echoarea, pleural effusion, and the number of B lines in the section with the most ones were recorded.Results Transthoracic lung ultrasound examination showed the proportion of pleural thickening more than 1.0 mm, a concave convex uneven pleura, with 3 B lines in a section and subpleural low echoarea in the ILD group were higher than that in the AECOPD group. There were significant differences between them(P<0.01). And the proportion of pleural effusion in the ILD group was lower than that in the AECOPD group, with a significant difference between the two group(P<0.05).Conclusion The transthoracic chest ultrasound sonograms have some specific features for diagnosing ILD, which can be used to differentiate ILD from AECOPD. |
| Key words: Interstitial lung disease(ILD) Transthoracic lung ultrasound Acute exacerbation of chronic obstructive pulmonary disease(AECOPD) |
