@article {Jiang1802018, author = {Jiang, Bin and Li, Xue-lian and Yin, Yan and Zhang, Qin and Zang, Tong and Song, Wang-shu and Wang, Xue-mei and Kang, Jian and Herth, Felix J.F. and Hou, Gang}, title ={超声弹性成像:}, volume = {54}, number = {2}, location-id = {1802018}, year = {2019}, doi = {10.1183/13993003.02018-2018}, publisher ={欧洲呼吸学会},188bet官网地址传统的胸腔超声(TUS)通常是帮助诊断恶性胸腔积液(MPE)的最初工具。超声弹性成像是一项相对较新的技术,通过评估组织硬度来鉴别恶性疾病和良性疾病。然而,尚无研究评价超声弹性成像诊断MPE的有效性。本文对超声消融成像在MPE诊断中的价值进行了展望。方法244例入组患者按时间顺序分为发育组和验证组。利用发展组患者连续数据构建的受试者工作特征曲线,建立临界值弹性指数。超声弹性成像与TUS在验证集中的诊断性能进行了比较。结果在开发组中,平均弹性指数(47.25 kPa)为最佳临界值。在验证组中,胸膜超声弹性成像诊断MPE的敏感性为83.64\%,特异性为90.67\%,阳性预测值为86.79\%,阴性预测值为88.31\%,阳性似然比为8.96,阴性似然比为0.18。 The sensitivity of ultrasound elastography was significantly higher (p=0.006) than that of TUS (60\%).Conclusion Pleural ultrasound elastography is a better technique than TUS for differentiating MPE from benign pleural disease.Pleural ultrasound elastography is a better technique than traditional thoracic ultrasound for diagnosing malignant pleural effusion http://bit.ly/2VX4Qns}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/54/2/1802018}, eprint = {//www.qdcxjkg.com/content/54/2/1802018.full.pdf}, journal = {European Respiratory Journal} }