الفهرس 
Indications and Outcome of PleurodesisOnly 14 pages are availabe for public view
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Abstract
BACKGROUND:
Ultrasound provides immediate information with real-
time imaging and can give information not available from a
standard radiograph or CT scan.The present study demonstrates
that ultrasound is an accurate imaging modality for the
evaluation of pleurodesis, in that the absence of pleural gliding
on ultrasound correlates well with the presence of a successful
pleurodesis.
Gliding sign refers to to-and-fro movement of the
visceral and parietal pleural surfaces during the respiratory
cycle. The gliding sign would be absent if pleurodesis was
present with fusion of the visceral and parietal pleural.
METHODS:
he present study was conducted upon twenty patients with
pleural disease enrolled for pleurodesis (12 male and 8 female)
with the mean age 58 years old, at the respiratory department of
Ain Shams University Hospitals during the period between
August 2015 and July 2016.
Chest ultrasound was performed just before pleurodesis and
then repeated after 2 weeks of the procedure.
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The outcome of pleurodesis was followed after 3 months for
clinical and radiological evidence of recurrence of pleural
effusion. In case of pneumothorax the evidence of success
was based on ultrasonographic evidence of persistently
absent pleural sliding
The identified outcome was plotted against early
ultrasonographic findings to determine the utility of chest
ultrasonography in detection of results of the procedure.
RESULTS:
Ultrasound done 15 days after trial of pleurodesis
showed absence of gliding sign in the scapular line in (70%) of
the patients compared to no abnormalities in the gliding prior to
the procedure and in mid axillary line in (60%) of the patients
and in midclavicular area in (35%) of the patients compared to
no abnormalities in the gliding prior to pleurodesis.
Chest ultrasound found that pleurodesis was fully
successful as judged by score of 19-21 in (35%) of cases and
also was able to detect failure of the procedure as judged by a
score 3-8 in (20%) of cases .
CONCLUSIONS:
A scoring system was verified to predict the early
outcome of pleurodesis whether succeeded or failed, by a total
score and a gliding sign score which was found to be of high
significant correlation with the other imaging modalities such
as the chest X-ray and CT chest.