摘要
目的探讨结核性胸膜炎的诊断方法。方法 125例结核性胸膜炎患者,在B超下行胸膜活检抽取胸膜组织和胸腔积液,前者行病理检查,后者作涂片和培养。结果胸膜活检阳性率为56.8%,胸水涂片阳性率为0,胸水培养阳性率为42.4%,联合检测阳性结果判定阳性率为82.4%,显著高于上述3项(P<0.05);共有19株结核分枝杆菌耐药,耐药率为15.2%。结论超声引导胸膜活检联合胸水结核分枝杆菌培养,可有效提高结核性胸膜炎的诊断率,同时进行药敏试验,为治疗药物的选择提供依据。
OBJECTIVE To explore the diagnosis methods of tuberculous pleuritis.METHODS The pleural tissues and hydrothorax were extracted from 125 cases with tuberculous pleuritis by ultrasonically guided pleural biopsy,examined with pathology,smear or culture.RESULTS The positive rates of pleural biopsy,the hydrothorax smear and the hydrothorax culture were 56.8%,0.0% and 42.4%,respectively.While the combined diagnosis showed a positive rate of 82.4%,higher than that by the three methods（P0.05）.A total of 8 strains（15.1%） of Mycobacterium tuberculosis were resistant to the drugs.CONCLUSION Ultrasonically guided pleural biopsy and culture of M.tuberculosis can significantly raise the positive rate of tuberculous pleuritis,and the sensitivity test suggests some advice for treatment.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第10期2012-2013,共2页
Chinese Journal of Nosocomiology
关键词
结核性胸膜炎
胸膜活检
结核分枝杆菌
Tuberculous pleuritis
Pleural biopsy
Mycobacterium tuberculosis
