摘要
目的评价内科胸腔镜对不明原因胸腔积液的诊断价值及安全性。方法前瞻性分析自2005年7月至2011年6月收入院不明原因的胸腔积液患者156例。按随机数字表法分为胸腔镜检查组(A组)80例,闭式胸膜活检术组(B组)76例,对比分析2组患者的诊断阳性率及术后并发症,并对不同年龄分层进行合并症比较。结果A组诊断率为95.0%(76/80),B组诊断阳性率为44.7%(34/76),2组比较,χ2=48.358,P=0.000,相对危险度(OR):24.029,95%置信区间:7.987～72.294,差异具有统计学意义。A组并发症发生率18.8%(15/80),B组并发症发生率15.8%(12/76),2组比较差异无统计学意义(P=0.625)。2组年龄<70岁及年龄≥70岁并发症比较(均P>0.05),差异均无统计学意义。结论内科胸腔镜操作简单,安全,诊断率高,并发症发生率低。
Objective To evaluate the efficacy and safety of medical thoracoscopy in pleural ef- fusion of unknown origin. Methods A prospective analysis was performed in 156 patients who were hospitalized for unknown pleural effusion between July 2005 and June 2011. These patients received either thoracoscopy （group A,n=80） or closed pleural biopsy （group B,n： 76）. The positive diagnostic rate and postoperative complications were compared between the two groups and among patients of different ages. Results The positive rate of diagnosis in group A was sig- nificantly higher than that in group B （95. 0% vs 44. 7%;x2 = 48. 358; P=0. 000; odd ratio, 24. 029 ;95% confidence intervals,7. 987-72. 294）. There were no obvious differences in complica- tions between group A and group B （18.8% vs 15.8% ,P=0. 625）,as well as between patients aged less than 70 years and patients aged greater than or equal to 70 years （P〉 0.05）. Conclusion Medical thoracoscopy is a simple and safe diagnostic tool which is worthy of clinical promotion with high diagnostic rate and low complication rate.
出处
《南昌大学学报（医学版）》
CAS
2012年第9期58-60,88,共4页
Journal of Nanchang University：Medical Sciences
关键词
内科胸腔镜
胸腔积液
诊断
medical thoracoscopy
pleural effusion
diagnosis
