Rumende C Martin
Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo Hospital. Jl. Diponegoro no. 71, Jakarta Pusat 10430, Indonesia.
Acta Med Indones. 2012 Apr;44(2):175-83.
Ultrasonographic examination in pulmonology provides a revolutionary advance because it is very helpful in the diagnosis and management of various pleural and peripheral pulmonary defects. Lung ultrasonography allows the clinicians to diagnose some pulmonary abnormalities more rapidly, including the diagnosis of pleural effusion. Ultrasound examination also provides great assistance for the clinicians to perform invasive techniques in the field of pulmonology, which may increase the success rate and reduce the likelihood of complications. In addition to pleural effusion, other lung disorders can be diagnosed by ultrasound such as peripheral lung tumors and other pleural abnormalities caused by pleural fibrosis and tumor metastasis as well as the primary pleural tumor (mesothelioma). Ultrasound-guided invasive procedures include aspiration of minimal effusion, Transthoracal Needle Aspiration, Transthoracal biopsies and chest tube insertion. Lung ultrasound also offers other advantages, i.e. free from radiation hazards, portable, non-invasive and relatively inexpensive. Ultrasonography in the thorax also has its limitations, especially in detecting mediastinal abnormalities.
肺部超声检查带来了革命性的进展，因为它对各种胸膜和周围肺部病变的诊断及管理非常有帮助。肺部超声检查能让临床医生更快速地诊断一些肺部异常情况，包括胸腔积液的诊断。超声检查还为临床医生在肺部领域进行侵入性操作提供了很大帮助，这可能会提高成功率并降低并发症的发生几率。除了胸腔积液外，其他肺部疾病也可通过超声诊断，如周围型肺肿瘤以及由胸膜纤维化、肿瘤转移引起的其他胸膜异常，还有原发性胸膜肿瘤（间皮瘤）。超声引导下的侵入性操作包括微量积液抽吸、经胸针吸活检、经胸活检和胸腔置管。肺部超声还具有其他优势，即无辐射危害、便携、无创且相对便宜。胸部超声检查也有其局限性，尤其是在检测纵隔异常方面。
