恶性胸膜疾病患者胸腔镜下的表型特征分析  

Study on visual aspect under thoracoscope of malignant pleural disease

作　　者：黄国华[1] 刘爱华[1] 程远雄[1] 苏瑾[1] 罗雅玲[1] 蔡绍曦[1] 

机构地区：[1]南方医科大学南方医院呼吸科,广州市510515

出　　处：《实用医学杂志》2011年第20期3729-3731,共3页The Journal of Practical Medicine

摘　　要：目的:观察恶性胸膜疾病患者胸腔镜下的表现,提高对其特点的认识,并评价胸腔镜检查的诊断价值。方法:回顾性分析38例经内科电子胸腔镜确诊的恶性胸膜疾病患者胸膜病变的镜下形态和分布特点。结果:恶性胸膜疾病患者胸腔镜下主要有四种形态:多发结节(26例,68.42%);单发结节(2例,5.26%);胸膜橘皮样改变(5例,13.16%);脏层、壁层胸膜直接粘附(2例,5.26%);胸膜表面完全正常(3例,7.89%)。病理结果:肺癌胸膜转移32例(84.21%),恶性间皮瘤3例(7.89%),乳腺癌胸膜转移1例(2.63%),肾癌胸膜转移1例(2.63%),甲状腺癌胸膜转移1例(2.63%)。无一例发生严重并发症。结论:可弯曲电子胸腔镜检查安全,在恶性胸膜疾病的诊断中具有重要的应用价值。Objective To investigate the morphological features of malignant pleural disease under thoracoscopy and evaluate the diagnostic value of thoracoscopy. Methods Retrospective study were performed on the morphological features and pathological results of 38 patients who had been diagnosed with malignant pleural disease by thoracoscopy. Results There were 26 patients （68.42%） with more sarcoidosis, 2 patients （5.26%） with one sarcoidosis, 5 patients with pleural orange kind change, 2 patients（5.26%） with directly adhesion between pleuras and 3 patients （7.89%） with completely normal pleura.and pathological type of the 38 cases was respectively, lung carcinoma was confirmed in 32 cases （84.21%）, malignant pleural mesothelioma in 3 cases（7.89%）, breast cancer in 1 （2.63%）, renal carcinoma in 1 case （2.63%）, thyroid cancer in 1 case （2.63%）. No serious complication was found. Conclusions Flexirigid thoracoscopy after artificial pneumothorax appeared to be efficient and relatively safe in the management of malignant pleural disease.

关 键 词：胸膜疾病 胸腔镜 诊断 

分 类 号：R734.3[医药卫生—肿瘤]