摘要
目的探讨电子支气管镜替代胸腔镜检查对恶性胸腔积液的诊断价值及恶性胸腔积液在支气管镜直视下的胸膜改变。方法对我院2008年10月～2010年10月间,应用电子支气管镜(Olympus BF-260)替代胸腔镜检查并确诊的33例恶性胸腔积液患者进行回顾性分析,所有患者经胸腔积液细胞学、痰细胞学、支气管镜检查等仍不能确诊胸腔积液性质,行电子支气管镜替代胸腔镜检查,直视下观察胸膜变化,并对可疑组织行活检进行病理检查。结果 33例患者最终诊断:胸膜转移癌25例,其中肺鳞癌2例,肺腺癌19例,小细胞癌1例,消化道肿瘤转移1例,其他部位转移癌2例;恶性胸膜间皮瘤5例;不能明确的恶性肿瘤3例。结论恶性胸腔积液胸膜上有不同程度的病损;电子支气管镜替代胸腔镜检查是一项安全、有效、易操作的检查方法。
Objective To explore the diagnostic value of bronchovideoscope replacing thoracoscope in malignant pleural effusion and the pleural changes of malignant pleural effusion under bronchovideoscope direct observation.Methods Retrospective study of 33 patients referred for bronchoscopes（Olympus BF-260） and diagnosed as malignant pleural effusion in our hospital between October 2008 and October 2010,the patients were undiagnosed with sputum cytology,pleural effusion cytology after examinations of thoracentesis,and then were examined by bronchovideoscope,the pleural changes were observed,and those doubtful tissues were performed with pathological examination.Results The final diagnosis： 25 were diagnosed as pleural metastatic carcinoma（2 lung squamous cel1 carcinoma,19 lung adenocarcinoma,1 small cell carcinoma,1 gastrointestinal tumor,2 other metastatic carcinoma）;5 pleural endotheliomas;3 un-defined malignant tumor.The pleural metastatic carcinoma under bronchovideoscope manifested multiple widespread nodus,some fused to sheet form;the mesothelioma presented as partial pleura basal region distributed major unequal size nodosity lump with smooth surface.Conclusion There are different degree of pathological damage in the pleura of patients with malignant pleural effusion.Bronchovideoscope replacing thoracoscope in examining malignant pleural effusion is a safe,effective,easily operated examination technique,which may achieve highly accurate diagnostic value.
出处
《临床肺科杂志》
2011年第11期1738-1739,共2页
Journal of Clinical Pulmonary Medicine
基金
重庆市医疗特色专科建设项目经费资助项目
关键词
电子支气管镜
胸腔镜
恶性胸腔积液
electronic bronchoscope
thoracoscope
malignant pleural effusion
