摘要
目的探讨内科胸腔镜对恶性胸腔积液诊断价值。方法 138例恶性胸腔积液患者行内科胸腔镜,取病变组织病理检查。结果获得明确病理结果 130例。镜下表现分为以下4种:①结节120例;②胸膜增厚、纤维组织增生形成分隔或粘连带10例;③胸膜充血、水肿6例,④胸膜弥漫性肥厚、凹凸不平2例。确诊病例中肺癌110例,肺腺癌转移93例,恶性间皮瘤8例,转移癌10例,病理无法定性的恶性胸腔积液5例。所有病例无严重并发症。结论内科胸腔镜检查对恶性胸腔积液诊断是一种安全、有效的方法。
Objective To evaluate the value of medical thoracoscopy for the diagnosis of malignant pleural effusion.Methods 138 patients with malignant pleural effusion undergone thoracoscopic biopsy and pathological examination.Results 94.2% of the cases had definite pathological diagnosis（130/138）.Endoscopic features of the pleura could be divided into four kinds： ① nodules in 120 cases.② pleura thickening,fibroplasia and adhesions in 10 cases.③ pleura congestion and edema in 6 cases.④ pleura diffused hypertrophy and uneven in 2 cases.110 patients were diagnosed as lung cancer.Lung adenocarcinoma metastasis was the most common accounting for 67.4%（93/138）.Malignant mesothelioma accounted for 5.8%（8/138）.Malignant pleural effusion which could not be pathologically determined accounted for 3.6%（5/138）.There were no serious complications in all cases.Conclusion Medical thoracoscopy is a safe and efficient diagnostic method for malignant pleural effusion.
出处
《临床肺科杂志》
2012年第9期1650-1651,共2页
Journal of Clinical Pulmonary Medicine
关键词
内科胸腔镜
恶性胸腔积液
诊断
病理
medical thoracoscopy； malignant pleural effusion； diagnosis； Pathology
