Title: Role of pleural ultrasonographic diagnosis in treatment planning: A study of 3831 cases
Abstract:Background: Pleural effusions are suspected by physical examination and suggested by X-ray chest. Pleuralaspiration is considered next to x-ray chest. If fluid is aspirated, it is dealt according to t...Background: Pleural effusions are suspected by physical examination and suggested by X-ray chest. Pleuralaspiration is considered next to x-ray chest. If fluid is aspirated, it is dealt according to the guide-line. If no fluidis found, then next possibility is considered. Chest ultrasound has appeared as an invaluable modality for theassessment and management of pleuro-pulmonary disorders.Objectives: To evaluate the usefulness of trans-thoracic ultrasonography for diagnosis and planning themanagement of pleuro-pulmonary disorders.Patients and methods: This retrospective study included 3831 consecutive cases, scanned at OPD of GulabDevi Chest Hospital, Lahore from October 2016 till February 2018. The undiagnosed cases suggestive ofhaving pleural effusion on chest x-ray (CXR) were included. The records of the patients were retrieved,ultrasonographic findings and final diagnosis were recorded. Results were tabulated and statistical analysis wasperformed using SPSS 16. Categorical data was presented as percentage and quantitative data was expressed asmean with standard deviation.Results: Pleural effusions were found in 2058/3831 (53.71%) cases; 915 (23.88%) with normal pleurae, 27(0.70%) collapse, 303 (7.90%) consolidation, 366 (9.55%) pleural thickening, 87 (2.27%) pleuro-phrenicadhesions and the diagnosis of mass lesion was made in 27 (0.7%) patients. It eliminated the need of pleuralaspiration in 1773 (46.28%) cases by ruling out pleural effusion in which attempted pleural aspiration andorgan puncture was inevitable otherwise.Conclusion: Trans-thoracic ultrasound is extremely useful for diagnosing and planning management forsuggested pleuro-pulmonary disorders.Read More
Publication Year: 2018
Publication Date: 2018-01-01
Language: en
Type: article
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