可弯曲内科胸腔镜术诊断不明原因的胸腔积液  

Application of Semirigid Thoracoscopy to Diagnose Pleural Effusion

作　　者：柯明耀[1] 吴雪梅[1] 陈玲玲[1] 谢红旗[1] 雍雅智[1] 罗炳清[1] 姜燕[1] 

机构地区：[1]福建省厦门市第二医院厦门市呼吸中心,福建厦门361021

出　　处：《医学信息》2008年第8期1380-1382,共3页Journal of Medical Information

摘　　要：目的探索可弯曲内科电子胸腔镜诊断不明原因胸腔积液的价值及可行性。方法采用OlympusLTF-240型可弯曲内科胸腔镜对81例不明原因胸腔积液患者在局麻下行开放式胸腔镜术,对可疑病变部位进行直视下活检,观察手术的安全性。结果81例不明原因胸腔积液中确诊66例,诊断阳性率达81.5%,包括胸膜转移癌43例(肺癌胸膜转移42例、食管癌胸膜转移1例),胸膜间皮瘤3例,结核性胸膜炎19例,矽肺累及胸膜1例;未确诊的病例包括13例病理示非特异性炎症、2例胸腔镜检查未见异常。81例均未发现严重并发症。结论可弯曲内科电子胸腔镜术是一种安全、微创、有效而实用的方法,可做为不明原因胸腔积液的常规诊断方法。objective To evaluate the value and feasibility of semirigid thoracoscopy in diagnosis of pleural effusion of unknown etiology. Methods Semirigid thoracoscopy on 81 patients were performed under local anesthesia with Olympus LTF-240 thoracoscope. Biopsy was taken under direct view and the safety of the operation observed. Results 66 patients were determined in 81 pleural effusion cases, and the diagnostic rate of thoracoscopy was 81.5%. The diagnosed cases included pleural metastasis tumor from lung cancer 42 cases, from esophageal cancer 1 case, malignant mesothelioma 3 cases, tuberculous pleurisy 19 cases, silicosis 1 case. The undetermined cases included nonspecific inflammation 13 cases and no abnormal 2 cases. There was no serious complication. Conclusions Semirigid thoracoscopy is an safe, less invasive, practical and high diagnostic rate method in unknown reason pleural effusions.

关 键 词：内科胸腔镜术 胸腔积液 胸膜肿瘤 结核性胸膜炎 

分 类 号：R561.3[医药卫生—呼吸系统] R561.04[医药卫生—内科学]