胸膜疾病纤维支气管镜胸腔诊治的应用价值  

The value of thoracoscope examination in disease of pleura with fiberoptic bronchoscope

作　　者：周一平[1] 叶又蓁[2] 陈小可[1] 夏利萍[1] 刘慧[1] 

机构地区：[1]广东医学院附属深圳福田人民医院,深圳518033 [2]安徽省蚌埠市第一人民医院,蚌埠233000

出　　处：《中国防痨杂志》2008年第3期210-213,共4页Chinese Journal of Antituberculosis

摘　　要：目的探讨纤支镜代胸腔镜诊治胸膜疾病的临床应用价值。方法对25例自发性气胸和22例胸腔积液患者在局麻下用纤支镜行开放式胸腔检查治疗术。结果胸腔积液患者的诊断率为95.4%(21/22),包括胸膜转移癌11例,胸膜间皮瘤1例,胸膜结核6例,脓胸3例,气胸患者中13例寻找到肺大疱或胸膜破口,而48%(12例)镜下未见明显异常。结论局麻下纤支镜代胸腔镜术安全、简便,可直视下观察胸腔病变并进行活检,有利明确积液病因,对脓胸和自发性气胸的诊治也有较大的意义。Objective To evaluate the clinical value of thoracoscope examination in disease of pleura with fiberoptic bronchoscope.Methods Twenty-two patients of pleural effusion and 25 patients of spontaneous pneumothorax were performed thoracoscope with fibrobronchoscope under local anesthesia.Results The diagnostic rate of patients with pleural effusion with thoracoscope was 95.4%(21/22),including 11 cases of pleural carcinomatosis,1 case of pleural malignant mesothelioma,6 cases of pleural tuberculosis and 3 cases ...

关 键 词：气胸 胸腔积液 胸腔镜 支气管镜 

分 类 号：R561[医药卫生—呼吸系统]