经皮针刺胸膜活检在渗出性胸腔积液中的诊断价值  

The value of pleural needle biopsy in the etiological diagnosis of exudative pleural effussion

作　　者：常慧宽 

机构地区：[1]河南省平顶山市平煤医疗集团总医院呼吸科,河南平顶山467000

出　　处：《中国医药导报》2011年第2期160-161,共2页China Medical Herald

摘　　要：目的:研究经皮针刺胸膜活检在渗出性胸腔积液病因诊断中的价值及安全性。方法:对78例渗出性胸腔积液患者进行针刺胸膜活检。结果:78例共行胸膜活检90次,获取胸膜组织81例,穿刺成功率90%,特异性病理诊断47例,病理诊断阳性率为60.3%,出现并发症6例(7.7%),其中胸膜反应4例,局限气胸2例,予对症处理后症状消失。结论:经皮针刺胸膜活检是一种安全、简单、有效的胸膜疾病诊断手段。Objective： To evaluate the safety and clinical significance of using pleural needle biopsy in diagnosis of pleural effusion.Methods： The pleural biopsy in 78 patients with exudative pleural effusion was performed by pleural biopsy needle.Results： Total 90 times of pleural biopsy were completed on 78 patients,81 pleural tissues were gained.The puncture succuess rate was 90%.With 47 cases of pathological specificity diagnosis and the positive rate of pathological diagnosis was 60.3%.There were 2 cases（2.6%） with the complication of pneumothorax and 4 cases（5.1%） with pleural response.Conclusion： Pleural needle biopsy is a safe,simple and effective method in the diagnosis of pleural diseases.

关 键 词：针刺胸膜活检 胸膜积液 诊断 

分 类 号：R561.3[医药卫生—呼吸系统]