可弯曲电子内科胸腔镜在结核性胸膜炎诊断中的应用  

Application of flexible electronic thoracoscopy in the diagnosis of tuberculous pleurisy

作　　者：谢强[1] 魏淑芳[1] 陈群[1] 李育宏[1] 石琴[1] 林江平[1] 王成辉[1] 

机构地区：[1]福建医科大学教学医院福州肺科医院呼吸科,福州350008

出　　处：《中国防痨杂志》2010年第4期221-223,共3页Chinese Journal of Antituberculosis

摘　　要：目的探讨可弯曲电子内科胸腔镜在结核性胸膜炎中的应用价值。方法2007年10月—2009年6月,对应用尖端可弯曲电子内科胸腔镜(LTF-240型)检查并确诊的92例结核性胸膜炎患者临床资料进行回顾性分析。结果92例患者镜下主要表现为胸膜充血水肿,粟粒样结节,单发或多发结节;伴坏死的结节;有较多的纤维条索状的黏连带;包裹性胸腔积液;脓苔。内科胸腔镜检查确诊阳性率为87.0%,92例胸腔镜检查仅1例出现胸膜反应,无严重并发症发生。结论可弯曲电子内科胸腔镜检查对临床上不能确诊的结核性胸膜炎是一项安全、有效、易操作、确诊率高的检查方法。Objective To evaluate the value of flexible thoracoseopy in the diagnosis of tuberculous pleurisy. Methods We analyzed retrospectively clinical data from 92 patients hospitalized in our hospital from October 2007 to June 2009 with tuberculous pleurisy confirmed by flexible thoracoscopy. Results The thoracoscopic appearance showed different clinical manifestations including hyperemia and oedema of pleura, diffused miliary nodules, single or multiple nodules, caseous necrotic nodules, pleural fibrostic septa or adhesion, encapsulated pleural effusion, cheesy empyerna. The diagnostic rate of thoracoscopy was 83.9%. Only one case suffered from pleura reaction. Conclusion Flexible electronic thoracoscopy is a safe, easy to operate and effective tool with high confirmed diagnostic rate in the diagnosis of unknown pleural effusion.

关 键 词：结核 胸膜/诊断 胸腔镜检查 

分 类 号：R521.7[医药卫生—内科学]