可弯曲内科胸腔镜在恶性胸腔积液中的诊断价值  

Application of flexirigid thoracoscopy in the diagnosis of malignant pleural effusion

作　　者：顾建庆[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,上海200030

出　　处：《肿瘤》2011年第2期145-147,共3页Tumor

基　　金：上海市胸科医院科技发展基金资助项目(编号:YZ08-12)

摘　　要：目的:评估可弯曲内科胸腔镜在恶性胸腔积液诊断中的应用价值。方法:对2007年10月-2010年6月的32例恶性胸腔积液患者行可弯曲内科胸腔镜检查的结果进行回顾性分析。所有患者在行内科胸腔镜检查前,其胸腔积液常规、生化、微生物学及细胞学等实验室检查均未能明确病因。结果:32例恶性胸腔积液患者中肺癌28例(腺癌22例、低分化癌6例),淋巴瘤2例,恶性胸膜间皮瘤2例。术后发热1例,未发生其他严重不良事件。结论:可弯曲内科胸腔镜是一种操作简便、安全而有效的诊断方法。对经其他常规检查无法明确诊断,且临床不能排除恶性胸腔积液时,应及时行内科胸腔镜检查以明确诊断。Objective：To investigate the diagnostic value of flexirigid thoracoscopy in patients with malignant pleural effusion.Methods：From October 2007 to June 2010,32 patients with malignant pleural effusion were retrospectively reviewed.In these patients,the routine,biochemistry,microbiology and cytology laboratory tests all failed to make the diagnosis.Then these patients received flexirigid thoracoscopy and the diagnosis of cause was identified.Results：In thirty-two patients with malignant pleural effusion,twenty-eight were diagnosed as having lung cancer（twenty-two had adenocarcinoma and six had poorly differentiated carcinoma）,two were diagnosed as having lymphoma,and two were diagnosed as having malignant pleuralmesothelioma.No other serious adverse events occurred except for one case with postoperative fever.Conclusion：Flexirigid thoracoscopy is a simple,safe and effective clinical technique in the diagnosis of malignant pleural effusion.When the routine examinations can not identify the pathogenesis of malignant pleural effusion,the thoracoscopy should be applied.

关 键 词：胸腔积液 恶性 胸腔镜检查 活组织检查 诊断 

分 类 号：R730.49[医药卫生—肿瘤]