内科胸腔镜在胸腔积液诊断中的应用价值  

Diagnostic Thoracoscopy for Pleural Effusion

作　　者：付翔[1] 

机构地区：[1]郴州市第三人民医院呼吸内科,湖南郴州423000

出　　处：《医学综述》2011年第7期1105-1106,共2页Medical Recapitulate

摘　　要：目的评价内科胸腔镜对不明原因胸腔积液的诊断价值。方法分析我科自2006年6月至2010年6月不明原因胸腔积液患者60例。其中经胸腔镜检查诊断30例(A组)。闭式胸膜活检术诊断30例(B组),对比分析两组患者的诊断阳性率及术后并发症。结果 A组诊断阳性率为93.3%(28/30),B组诊断阳性率为46.7%(14/30),两组比较,差异具有统计学意义(P<0.05)。A组并发症发生率20%(6/30),B组并发症发生率16.7%(5/30),两组比较,差异无统计学意义(P>0.05)。结论内科胸腔镜操作简单,安全,诊断率高,并发症发生率低,值得临床推广。Objective To study the use of diagnostic thoracoscopy in the differentiation of pleural effusion of unknown cause.Medhods Sixty patients with pleural effusion of unknown cause who were hospitalized between June 2006 and June 2010 were retrospectively reviewed.Thirty patients underwent thoracoscopy（group A） whilst the remainder thirty patients received closed pleural biopsy.The positive diagnostic rate and post-procedural complications were compared and analyzed between the two groups.Results Group A had a positive rate of 93.3%（28/30） whereas group B had a rate of 46.7%（14/30）（P0.05）.The frequencies of complications were 20.0%（6/30） and 16.7%（5/30） in group A and group B（P0.05）,respectively.Conclusion Diagnostic thoracoscopy is a simple,safe and worthy diagnostic tool with few complication in clinical practice.

关 键 词：内科胸腔镜 胸腔积液 诊断 

分 类 号：R56[医药卫生—呼吸系统]