纤支镜诊断不明原因胸腔积液27例的诊断探讨  

Diagnostic value,benefit-cost ratio and clinical analysis of 27 cases of pleural effusion of unknown causes by electronic bronchoscope replacing Thoracoscopy

作　　者：费忠亭 陈石[2] 

机构地区：[1]灌南县中医院呼吸科,江苏灌南222500 [2]南京市胸科医院呼吸科二病区,江苏南京210029

出　　处：《临床肺科杂志》2011年第11期1698-1700,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的使用电子气管镜代替胸腔镜诊断胸腔及胸腔积液疾病(包括血胸、脓胸、胸腔积液)。方法纤支镜进行胸腔积液诊断27名患者。结果电子纤支镜代替胸腔镜在诊断这些疑难胸腔积液患者可活检帮助诊断,又可治疗。结论通过胸腔闭式引流管置入电子纤支镜诊断疑难胸腔积液,十分简单、有效、微创,同时有较高的效费比。Objective Background： Pleural disease remains a commonly encountered clinical problem for both physician and surgeon.This study describes a new way to better diagnose and treat pleural diseases（hemothorax,empyema,and pleural effusion） using an electronic endoscope（gastroscope or bronchoscope）.Methods We conducted a retrospective study of the use of an electronic endoscope in the treatment and diagnosis of pleural diseases.From October 2007 to Marh 2011,a total of 27 patients（9 women,18men;mean age 52 years;range 22~75 years） underwent procedures for thoracic empyema（4 patients） and undiagnosed pleural effusion（1 patient）.The electronic endoscope was inserted via the thoracic drainage tube for the treatment or diagnosis of pleural diseases after regular treatments,including thoracentesis,tube thoracostomy,and biopsy.Results All patients were cured and discharged from hospital and were followed up for 6 months.The patients recovered well and there was no recurrence.Conclusion The technique of inserting an electronicendoscope into the thoracic drainage tube for diagnosis and treatment of pleural diseases is simple,effective,minimally invasive,and cost-effective.

关 键 词：电子纤支镜 胸膜腔疾病 治疗 诊断 

分 类 号：R561[医药卫生—呼吸系统]