Stević R S, Ercegovac M M, Jaković R M, Moskovljević D D, Bascarević S M, Savić M M, Jovanović D M
Institut za radiologiju, Klinicki centar Srbije, Beograd.
Acta Chir Iugosl. 2007;54(3):129-36. doi: 10.2298/aci0703129s.
The aim of this study was to estimate validity of transthoracic ultrasonography in diagnosis and evaluation of the results of initial surgical therapy of acute pleural empyema. The study included 49 patients with II stage acute pleural empyema. Initial surgical tretament was indicated according to CT and transthoracic ultrasonography findings. Evaluation of initial therapy results has been made by transthoracic ultrasonography (TUS). Clinical significance of standard x-ray, CT and TUS in different stages of diagnostic and therapeutic procedure has been analyzed. Chest drainage was initial treatment in 10 (20.4%) patients, thoracentesis in 39 (79.6%). Complete cure with this two methods was achieved in 22 (44.9%) patients. In 27 (55.1%) patients initial treatment failed. TUS was sufficient for adequate estimate of initial treatment results in 41 (83.6%). Additional CT was indicated in 8 (16.3%) patients. Transthoracic ultrasonography has impotrant role in choice of initial surgical therapy of acute pleural empyema. If initial estimate of therapy results is made by TUS, CT is rarely necessary.
本研究的目的是评估经胸超声检查在急性胸膜腔积脓初始手术治疗的诊断及治疗结果评估中的有效性。该研究纳入了49例II期急性胸膜腔积脓患者。根据CT和经胸超声检查结果进行初始手术治疗。通过经胸超声检查（TUS）评估初始治疗结果。分析了标准X线、CT和TUS在诊断和治疗过程不同阶段的临床意义。10例（20.4%）患者的初始治疗为胸腔引流，39例（79.6%）为胸腔穿刺术。这两种方法使22例（44.9%）患者完全治愈。27例（55.1%）患者的初始治疗失败。41例（83.6%）患者中，TUS足以充分评估初始治疗结果。8例（16.3%）患者需要额外进行CT检查。经胸超声检查在急性胸膜腔积脓初始手术治疗的选择中具有重要作用。如果通过TUS对治疗结果进行初始评估，很少需要CT检查。
