【摘要】 目的 通过对160例结核性胸膜炎患者的影像学诊断分析，探讨B超、放射在结核性胸膜炎诊断中的应用价值。方法 对2008年5月至2010年9月我院临床确诊的结核性胸膜炎160例患者影像学诊断资料进行分析。总结结核性胸膜炎的B超表现和CT表现。结果 B超显示胸膜肥厚102例，胸腔积液123例；CT显示胸膜肥厚105例，胸腔积液126例，合并肺内结核62例，叶间及心包积液18例。结论 B超与CT在诊断胸膜肥厚和胸腔积液方面无显著差异（P＞0.05），在发现合并胸内病灶方面具有显著性差异（P＜0.01）。 CT 对结核性胸膜炎的诊断更具价值。?
【关键词】 结核性胸膜炎;医学影像学;B超;CT;诊断价值?
【中图分类号】 R232.6【文献标识码】 A【文章编号】 1044-5511（2012）02-0554-01??
Imaging diagnosis of tuberculous pleurisy Zhai Jianfei Zhuhai City tuberculosis 519000 Abstract: objective to pass on 160 cases of tuberculous pleurisy in patients with diagnostic imaging analysis, discussion, B ultrasound radiation in tuberculous pleurisy diagnosis application value. Methods from 2008 May to 2010 September in our hospital clinical diagnosis of 160 cases of tuberculous pleurisy patients diagnostic imaging data analysis. Summary of tuberculous pleurisy B ultrasound manifestations and CT findings. The results of B ultrasound revealed pleural thickening in 102 cases, 123 cases of pleural effusion; CT shows pleural thickening in 105 cases, 126 cases of pleural effusion, combined with pulmonary tuberculosis in 62 cases, among leaves and pericardial effusion in 18 cases. Conclusion B-mode ultrasonography and CT in diagnosis of pleural thickening and pleural effusion and no significant difference ( P > 0.05 ), found in the combined with intrathoracic lesions with significant difference ( P