摘要
目的：探讨胸腔镜检查对不明原因渗出性胸腔积液的诊断价值及安全性。方法回顾性分析不明原因渗出性胸腔积液患者70例行内科胸腔镜检查的临床资料，直视下取病变组织行病理检查。结果镜下分别有灰白色粟粒样结节，多发结节状突起，胸膜局灶不规则增厚，胸膜充血、水肿，纤维粘连等。胸腔镜检查确诊率95．7％。确诊病例中结核性胸膜炎35例，癌性胸腔积液20例，肺炎旁积液8例，心功能不全胸腔积液4例以及不明原因胸腔积液3例，无严重并发症。结论内科胸腔镜检查对不明原因渗出性胸腔积液是一种安全、确诊率高的诊断方法，有利于尽早制定下一步治疗方案，观察胸腔积液患者的胸膜在胸腔镜肉眼直视下的常见病变。
Objective To investigate the diagnostic value and safety of medical thoracoscopy in unexplained exudative pleural effusion.Methods A retrospective analysis was conducted using the clinical data of 70 routine medical thoracoscopy examinations of unexplained exudative pleural effusion in patients.The lesions were examined pathologically under direct vision.Results White military nodules were observed under endoscopy,with multiple pro-truding nodules,focal irregular thickening of the pleura,pleural congestion,edema and adhesion.The diagnostic accu-racy of thoracoscopy was 95.7%.Among the diagnosed cases,there were 35 cases of tuberculous pleurisy,20 cases of malignant pleural effusion,8 cases of parapneumonic effusion,4 cases of pleural effusion from congestive heart failure and 3 cases of idiopathic pleural effusion,with no serious complications.Conclusion Medical thoracoscopy is a safe and accurate method in the diagnosis of unexplained exudative pleural effusion.Medical thoracoscopy is beneficial in the establishment of treatment method quickly and allows observation of the pleural lesions in pleural effusion patients using the naked eye.
出处
《中国基层医药》
CAS
2016年第2期226-228,共3页
Chinese Journal of Primary Medicine and Pharmacy
