尖端可弯曲内科胸腔镜在不明原因胸腔积液中的诊断价值  

Value of flexirigid thoracoscopy in diagnosis of pleural efusions of unknown causes

作　　者：顾建庆[1] 顾爱琴[1] 沈洁[1] 王建华[1] 戚大江[1] 徐扣凤[1] 钱家琳 孙加源[1] 韩宝惠[1] 

机构地区：[1]上海交通大学附属胸科医院呼吸内科,200030

出　　处：《上海医学》2010年第7期660-662,I0002,共4页Shanghai Medical Journal

摘　　要：目的了解尖端可弯曲内科胸腔镜在不明原因的胸腔积液诊断中的应用价值。方法选取2007年10月—2008年12月在上海交通大学附属胸科医院呼吸内科住院的60例胸腔积液患者,男35例,女25例。所有患者通过胸腔积液常规、生化、微生物学及细胞学等实验室检查均未能明确病因,而行尖端可弯曲的内科胸腔镜检查。结果 60例胸膜疾病患者中,结核29例(48.3%),恶性肿瘤18例(30.0%),慢性炎症6例(10.0%),乳糜胸1例(1.7%),胸腔内异位肝1例(1.7%),胸膜结缔组织病变1例(1.7%),诊断阳性率为93.3%(56/60)。术后发生疼痛及发热各1例,未发生其他严重不良事件。结论尖端可弯曲的内科胸腔镜是一项简单、安全、有效的检查方法,可帮助我们进一步明确不明原因的胸腔积液的病因。Objective To explore the value of flexirigid thoracoscopy in the diagnosis of pleural effusion of unknown causes. Methods Sixty patients （35 males,25 females） with pleural effusions were examined with flexirigid thoracoscopy from Oct 2007 to Dec 2008 in our hospital. Routine examinations for the pleural effusions,including biochemistry and microbiology,as well as cytology had failed to reach a definite diagnosis,and the patients were subjected to thoracoscopy examination. Results Twenty-nine （48.3%） of the 60 patients had tuberculosis,18 （30.0%） had malignancy,6 （10.0%） had chronic inflammations,1 （1.7%） had chylothorax,1（1.7%） had intrathoracic ectopic liver,and 1 （1.7%） had pleural connective tissue disease. One patient suffered from pain and one from fever after operations; no other severe adverse events were noticed. Conclusion Flexirigid thoracoscopy is a simple,safe,and effective examination for a definite diagnosis of pleural effusions of unknown aetiology.

关 键 词：胸腔镜 可弯曲 胸腔积液 诊断 

分 类 号：R561[医药卫生—呼吸系统]