Thakur Charu Smita, Sharma Thakur Yugal Kumar, Makhaik Sushma, Tomar Ashwani, Negi Rs, Thakur Shruti
Indira Gandhi Medical College (IGMC) Shimla, Shimla, India.
Pol J Radiol. 2025 Feb 11;90:e74-e83. doi: 10.5114/pjr/199775. eCollection 2025.
The purpose of this study was to evaluate the use of the transthoracic ultrasonography (US) for pleural adhesions and pleural thickening and to quantify pleural effusion by standardised sonographic techniques and its comparison with thoracoscopic findings. An assessment of the association between pleural thickness and pleural nodularity with histopathological examination findings was also attempted.
Thirty-one patients with suspected chest pathologies were initially assessed by transthoracic US followed by videothoracospy. Findings observed were noted and appropriately analysed statistically.
Transthoracic US is 100% sensitive and specific for detecting pleural septations in the presence of pleural effusion with 100% accuracy. Gliding sign is a highly sensitive and specific sign to detect the pleural septations in absence of pleural effusion. There was no significant association of thickness of pleural septation with the pleural malignancy.
Transthoracic US plays an important role in the quantification of pleural effusion, assessment of the pleura and pleural space for pleural adhesion, pleural thickening, and guiding trocar insertion.
本研究旨在评估经胸超声（US）在检测胸膜粘连和胸膜增厚方面的应用，并通过标准化超声技术对胸腔积液进行定量分析，以及将其与胸腔镜检查结果进行比较。同时还尝试评估胸膜厚度和胸膜结节性与组织病理学检查结果之间的关联。
31例疑似胸部病变患者首先接受经胸超声检查，随后进行电视胸腔镜检查。记录观察到的结果并进行适当的统计学分析。
经胸超声在存在胸腔积液时检测胸膜分隔的敏感性和特异性均为100%，准确性为100%。滑动征是在无胸腔积液时检测胸膜分隔的高度敏感和特异的征象。胸膜分隔厚度与胸膜恶性肿瘤之间无显著关联。
经胸超声在胸腔积液定量分析、评估胸膜和胸膜腔有无胸膜粘连、胸膜增厚以及引导套管针插入方面发挥着重要作用。
