摘要
目的探讨电子支气管镜代胸腔镜在胸腔积液中的诊断价值及安全性。方法回顾分析四川省遂宁市中心医院2010年5月至2012年6月55例胸腔积液患者进行电子支气管镜代胸腔镜诊断的临床资料,观察电子支气管镜代胸腔镜在胸腔积液中的诊断率及并发症。结果 55例患者均顺利完成电子支气管镜代胸腔镜检查,经组织病理学确诊为结核39例,腺癌12例,鳞癌2例,2例未明确诊断。患者均无复张性肺水肿、脓胸、肺不张、大出血等严重并发症。结论电子支气镜代胸腔镜检查操作简单,对胸腔积液的诊断阳性率高,安全性好,值得临床推广。
Objective To assess the diagnostic value and safety of electronic bronchoscope instead of thoracoscope for pleural ef-fusion.Methods The clinical data of 5 5 cases of electronic bronchoscope instead of thoracoscope in diagnosing pleural effusion in our hospital from May 2010 to June 2012 were retrospectively analyzed.The diagnostic rate and the comlications of electronic bron-choscope instead of thoracoscope for pleural effusion were observed.Results All cases were smoothly completed the electronic bronchoscopic examination instead of the thoracoscopic examination.3 9 cases of tuberculosis,1 2 cases of adenocarcinoma and 2 ca-ses of squamous carcinoma were definitely diagnosed by the histopathology,2 cases were unknown diagnosis.No Severe complica-tions of pulmonary edema,pleural empyema,atelectasis,massive hemorrhea,etc.ocurred during and after operation.Conclusion E-lectronic bronchoscope instead of thoracoscope is easy to operate and has high positive rate in diagnosing pleural effusion and good safety,which deserves to be promoted in clinic.
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第17期2130-2131,共2页
Chongqing medicine
关键词
电子支气管镜
胸腔镜
胸腔积液
electronic-bronchoscope
thoracoscope
pleural-effusion
