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超声新技术在肺结核诊断中的应用进展
舒霁欣1,王茵2*
0
(1. 海军军医大学(第二军医大学)附属公利医院外科, 上海 200135;
2. 同济大学附属上海市肺科医院超声科, 上海 200433
*通信作者)
摘要:
近年来,随着超声新技术的发展,超声检查作为一种无创性检查手段在肺结核的诊治中得到越来越广泛的应用。常规超声检查结合超声造影技术在肺结核的诊断及治疗效果的长期观察中具有重要意义,超声造影与超声介入技术相结合能明显提高经皮肺穿刺术的成功率,支气管内镜超声技术对痰涂片或痰培养细菌学检查阴性的肺结核患者具备明确诊断价值。本文对常规超声检查、超声造影技术、超声引导经皮肺穿刺术和支气管内镜超声技术在肺结核诊断中的研究进展作一综述。
关键词:  肺结核  超声造影检查  超声介入技术  支气管内镜超声检查
DOI:10.16781/j.0258-879x.2018.10.1092
投稿时间:2018-07-05修订日期:2018-09-14
基金项目:上海市科学技术委员会2018年度医学引导类(中、西医)科技支撑项目(18411966700).
Application of novel ultrasonic techniques in diagnosis of pulmonary tuberculosis: recent progress
SHU Ji-xin1,WANG Yin2*
(1. Department of Surgery, Gongli Hospital, Navy Medical University(Second Military Medical University), Shanghai 200135, China;
2. Department of Ultrasound, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China
*Corresponding author)
Abstract:
In recent years, with the development of novel ultrasonic techniques, ultrasonography has been widely used as a non-invasive examination method in the diagnosis and treatment of pulmonary tuberculosis. Conventional ultrasound combined with contrast-enhanced ultrasound has great significance in the diagnosis and the long-term observation of treatment of tuberculosis, contrast-enhanced ultrasound combined with interventional ultrasound techniques can improve the success rate of percutaneous lung puncture, and endobronchial ultrasound has definite diagnostic value for pulmonary tuberculosis patients with negative results in sputum smear or sputum culture bacteriological examination. In this paper, we reviewed the progress of conventional ultrasound, contrast-enhanced ultrasound, ultrasound-guided percutaneous lung puncture and endobronchial ultrasound in the diagnosis of pulmonary tuberculosis.
Key words:  pulmonary tuberculosis  contrast-enhanced ultrasound  interventional ultrasound  endobronchial ultrasound